# PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beachwood Foot & Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255402442
- **Authorized official:** DR. MATTHEW DEMORE III DPM (OFFICE MANAGER)
- **Authorized official phone:** (216) 591-1311

## Contact information

- **Practice address:** 3609 PARK EAST DR, NORTH 406, BEACHWOOD, OH 44122-4331
- **Practice address phone:** (216) 591-1311
- **Mailing address:** PO BOX 72350, CLEVELAND, OH 44192-0002
- **Mailing address phone:** (216) 591-1311

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2006
- **Last updated:** 01/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0851823 | — | OH |