Provider Demographics
NPI:1194722025
Name:FRANCISCO, JOSEPH JOHN JR (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:FRANCISCO
Suffix:JR
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 1:9471 MARKET ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:44452-8702
Mailing Address - Country:US
Mailing Address - Phone:330-726-7100
Mailing Address - Fax:330-758-0347
Practice Address - Street 1:9471 MARKET ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH LIMA
Practice Address - State:OH
Practice Address - Zip Code:44452
Practice Address - Country:US
Practice Address - Phone:330-726-7100
Practice Address - Fax:330-758-0347
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003093213ES0103X
OH36003093213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2250335Medicaid
OH2250335Medicaid
4044839Medicare ID - Type Unspecified
4044846Medicare ID - Type Unspecified
4044832Medicare ID - Type Unspecified
4044841Medicare ID - Type Unspecified
OH480032052Medicare PIN
4044843Medicare ID - Type Unspecified
4044831Medicare ID - Type Unspecified
4044842Medicare ID - Type Unspecified
4044837Medicare ID - Type Unspecified
4044847Medicare ID - Type Unspecified
4044836Medicare ID - Type Unspecified
4044848Medicare ID - Type Unspecified
OH2250335Medicaid
4044833Medicare ID - Type Unspecified
4044838Medicare ID - Type Unspecified
4044844Medicare ID - Type Unspecified
4044845Medicare ID - Type Unspecified
WV2102022000Medicaid