Provider Demographics
NPI:1700888401
Name:CHOKAN, AARON J (DPM)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:CHOKAN
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 1:3226 KENT RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4424
Mailing Address - Country:US
Mailing Address - Phone:330-929-3331
Mailing Address - Fax:330-929-5408
Practice Address - Street 1:3226 KENT RD
Practice Address - Street 2:SUITE 150
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4424
Practice Address - Country:US
Practice Address - Phone:330-929-3331
Practice Address - Fax:330-929-5408
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-3273213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00167728OtherRAILROAD MEDICARE
OH2383362Medicaid
OHP00167728OtherRAILROAD MEDICARE
OH2383362Medicaid
OH4099223Medicare PIN
OH4099225Medicare PIN