Provider Demographics
NPI:1699772822
Name:ASSOCIATES IN FOOT & ANKLE CARE INC
Entity type:Organization
Organization Name:ASSOCIATES IN FOOT & ANKLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:MOLINARO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, FACFAS
Authorized Official - Phone:330-544-4141
Mailing Address - Street 1:1250 YOUNGSTOWN WARREN RD UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4649
Mailing Address - Country:US
Mailing Address - Phone:330-544-4141
Mailing Address - Fax:330-544-4134
Practice Address - Street 1:1250 YOUNGSTOWN WARREN RD UNIT 1A
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4649
Practice Address - Country:US
Practice Address - Phone:330-544-4141
Practice Address - Fax:330-544-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002787M213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2432175Medicaid
OH4923220003Medicare NSC
OHT80450Medicare UPIN
OH2432175Medicaid
OH9337601Medicare ID - Type UnspecifiedGROUP NUMBER