Organization
WORTHINGTON FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M FAUVER (CREDENTIALING MANAGER)
(440) 357-8418
Entity
Organization
Contact information
Practice address
7620 OLENTANGY RIVER RD STE 100, COLUMBUS, OH 43235-1363
(614) 905-6342
Mailing address
37 E WILSON BRIDGE RD, WORTHINGTON, OH 43085-2354
(614) 905-6342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023345956
NPI INDIVIDUAL
—
01
—
1962715722
NPI INDIVIDUAL
—
Enumeration date
11/19/2014
Last updated
02/24/2025
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