# COMPLETE FOOT AND ANKLE SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164760765
- **Authorized official:** DR. RICHARD F JENNINGS D.P.M. (OWNER/PHYSICIAN)
- **Authorized official phone:** (614) 893-6942

## Contact information

- **Practice address:** 2330 E HIGH ST STE B, SPRINGFIELD, OH 45505-1371
- **Practice address phone:** (937) 322-3346
- **Practice address fax:** (937) 599-4852
- **Mailing address:** 1400 S MAIN ST, BELLEFONTAINE, OH 43311-1581
- **Mailing address phone:** (937) 599-3668
- **Mailing address fax:** (937) 599-4852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | H015112 | MEDICARE | OH |