Provider Demographics
NPI:1659373496
Name:VARGO, FRANK E (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:VARGO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18181 PEARL RD
Mailing Address - Street 2:SUITE B-200
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6949
Mailing Address - Country:US
Mailing Address - Phone:440-816-4999
Mailing Address - Fax:440-816-5973
Practice Address - Street 1:18181 PEARL RD
Practice Address - Street 2:SUITE B-200
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6949
Practice Address - Country:US
Practice Address - Phone:440-816-4999
Practice Address - Fax:440-816-5973
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2252-V213ES0131X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000133010OtherUNICARE LIFE & HEALTH
OHP02252OtherSUMMACARE HEALTH PLAN
OH000000133010OtherANTHEM BCBS
OH0615623Medicaid
OH000000133010OtherUNICARE LIFE & HEALTH
OH0615623Medicaid
OH0576581Medicare PIN
OH4423930001Medicare NSC