# WADSWORTH FOOT & ANKLE, LLC

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

## Provider details

- **NPI number:** 1669502670
- **Authorized official:** DR. PATRICK ANTHONY CAMPBELL D.P.M. (OWNER)
- **Authorized official phone:** (330) 336-7075

## Contact information

- **Practice address:** 229 LEATHERMAN RD, WADSWORTH, OH 44281-9236
- **Practice address phone:** (330) 336-7075
- **Practice address fax:** (330) 336-4211
- **Mailing address:** 229 LEATHERMAN RD, WADSWORTH, OH 44281-9236
- **Mailing address phone:** (330) 336-7075
- **Mailing address fax:** (330) 336-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003282 | OH | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 05/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000329689 | ANTHEM | OH |
| 01 | — | 106409 | NATIONWIDE HEALTH PLANS | OH |
| 01 | — | 1528007002 | NPI TYPE 1 | OH |
| 05 | — | 2375488 | — | OH |
| 01 | — | 240517 | CIGNA | OH |
| 01 | — | 5127460001 | ADMIN FED | OH |