Provider Demographics
NPI:1912951088
Name:ALLIED FOOT CARE, INC
Entity type:Organization
Organization Name:ALLIED FOOT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PASTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:513-256-2032
Mailing Address - Street 1:7105 HIGH POINTE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2043
Mailing Address - Country:US
Mailing Address - Phone:513-256-2032
Mailing Address - Fax:513-407-6829
Practice Address - Street 1:7105 HIGH POINTE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2043
Practice Address - Country:US
Practice Address - Phone:513-256-2032
Practice Address - Fax:513-407-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2501213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0757757Medicaid
OH0790345Medicaid
T87914Medicare UPIN
OH0757757Medicaid
PA0652563Medicare ID - Type UnspecifiedINDIVIDUAL