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Organization
DONAHUE FOOT AND ANKLE CENTER
Active
Organization
DONAHUE FOOT AND ANKLE CENTER
Active
Parent organization
DONAHUE FOOT AND ANKLE CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONAHUE FOOT AND ANKLE CENTER, INC.
Authorized official
DR. WILLIAM ELLIS DONAHUE JR. DPM (OWNER/PRESIDENT)
(216) 459-8616
Entity
Organization
Contact information
Practice address
26151 EUCLID AVE, EUCLID, OH 44132-3300
(216) 459-8616
(216) 459-0373
Mailing address
3731 PEARL RD, CLEVELAND, OH 44109-2750
(216) 459-8616
(216) 459-0373
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002283
OH
332B00000X
Durable Medical Equipment & Medical Supplies
36002283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167628
ANTHEM BLUE SHIELD
OH
05
—
2691921
—
OH
Enumeration date
08/11/2006
Last updated
02/18/2010
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