# ELLIOTT FOOT AND ANKLE ASSOC, INC

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

## Provider details

- **NPI number:** 1285643015
- **Authorized official:** CAMERON A. ELLIOTT DPM (PRESIDENT)
- **Authorized official phone:** (330) 929-3331

## Contact information

- **Practice address:** 2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
- **Practice address phone:** (330) 929-3331
- **Practice address fax:** (330) 929-5408
- **Mailing address:** 2127 STATE RD, CUYAHOGA FALLS, OH 44223-1427
- **Mailing address phone:** (330) 929-3331
- **Mailing address fax:** (330) 929-5408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36001546E | OH | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 04/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000166454 | ANTHEM GROUP \# | OH |
| 05 | — | 0147326 | — | OH |
| 05 | — | 0953357 | — | OH |
| 01 | — | CJ0712 | MEDICARE RR | OH |