Provider Demographics
NPI:1629382247
Name:FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO, LLC
Entity Type:Organization
Organization Name:FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GURWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-339-2000
Mailing Address - Street 1:680 BUCKLES CT, N
Mailing Address - Street 2:STE 2A
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6928
Mailing Address - Country:US
Mailing Address - Phone:614-339-2000
Mailing Address - Fax:614-939-9299
Practice Address - Street 1:680 BUCKLES CT, N
Practice Address - Street 2:STE 2A
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6928
Practice Address - Country:US
Practice Address - Phone:614-339-2000
Practice Address - Fax:614-939-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH002584213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty