# HIGHLAND PODIATRY ASSOCIATES INC

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

## Provider details

- **NPI number:** 1487836847
- **Authorized official:** DR. DANIEL J CAVOLO DPM (TAX ID OWNER)
- **Authorized official phone:** (440) 473-0550

## Contact information

- **Practice address:** 850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
- **Practice address phone:** (440) 473-0550
- **Practice address fax:** (440) 473-1266
- **Mailing address:** 850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
- **Mailing address phone:** (440) 473-0550
- **Mailing address fax:** (440) 473-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36001699C | OH | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 12/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000166644 | ANTHEM | OH |
| 05 | — | 0305959 | — | OH |
| 01 | — | 3206958 | AETNA | OH |
