# MOLLY S JUDGE DPM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** North West Ohio Foot and Ankle LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801065545
- **Authorized official:** DR. MOLLY S JUDGE DPM (OWNER)
- **Authorized official phone:** (419) 732-2618

## Contact information

- **Practice address:** 530 WASHINGTON STREET, PORT CLINTON, OH 43452-1935
- **Practice address phone:** (419) 732-2618
- **Practice address fax:** (419) 732-1998
- **Mailing address:** 530 WASHINGTON STREET, PORT CLINTON, OH 43452-1935
- **Mailing address phone:** (419) 732-2618
- **Mailing address fax:** (419) 732-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2877 | OH | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 10/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000142130 | ANTHEMBCBS | OH |
| 05 | — | 134887318 | — | MI |
| 05 | — | 2019774 | — | OH |
| 01 | — | 4855810540 | BCBS MI | MI |