Provider Demographics
NPI:1669525010
Name:ARLINGTON FOOT & ANKLE CENTER, INC
Entity type:Organization
Organization Name:ARLINGTON FOOT & ANKLE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KRAVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-457-3894
Mailing Address - Street 1:941 CHATHAM LN
Mailing Address - Street 2:SUITE 215
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2416
Mailing Address - Country:US
Mailing Address - Phone:614-457-3894
Mailing Address - Fax:614-457-5698
Practice Address - Street 1:941 CHATHAM LN
Practice Address - Street 2:SUITE 215
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2416
Practice Address - Country:US
Practice Address - Phone:614-457-3894
Practice Address - Fax:614-457-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0976672Medicaid
4308520001Medicare NSC
OH0976672Medicaid
OHAR9279391Medicare ID - Type Unspecified