# TRI-COUNTY FOOT AND ANKLE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Timothy D. Kistler, DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477715845
- **Authorized official:** MR. TIMOTHY D. KISTLER DPM (PRESIDENT)
- **Authorized official phone:** (419) 435-3554

## Contact information

- **Practice address:** 614 W LYTLE ST, FOSTORIA, OH 44830-3422
- **Practice address phone:** (419) 435-3554
- **Mailing address:** 614 W LYTLE ST, FOSTORIA, OH 44830-3422
- **Mailing address phone:** (419) 435-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | OH36003099 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OH36003099 | OH | — |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 12/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000141026 | ANTHEM BLUE CROSS BLUE SHIELD | OH |
| 05 | — | 2092239 | — | OH |
| 01 | — | 272741141003 | MEDICAL MUTUAL OF OHIO | OH |
| 01 | — | 480026415 | MEDICARE RR | OH |