# FOOT AND ANKLE CENTERS OF OHIO, INC.

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

## Provider details

- **NPI number:** 1174574354
- **Authorized official:** EUGENE R LITTLE JR. DPM (PRESIDENT)
- **Authorized official phone:** (419) 394-8664

## Contact information

- **Practice address:** 1013 E SPRING ST, ST MARYS, OH 45885-2447
- **Practice address phone:** (419) 394-8664
- **Practice address fax:** (419) 394-1148
- **Mailing address:** 1013 E SPRING ST, ST MARYS, OH 45885-2447
- **Mailing address phone:** (419) 394-8664
- **Mailing address fax:** (419) 394-1148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003384 | OH | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 12/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0991646 | — | OH |
| 01 | — | CJ0376 | MEDICARE RAILROAD GROUP | OH |