Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU GREGORY BORTEL DPM (PHYSICIAN)
(419) 893-5757
Entity
Organization
Contact information
Practice address
5757 MONCLOVA RD, SUITE 5, MAUMEE, OH 43537-1863
(419) 893-5757
(419) 893-5399
Mailing address
5757 MONCLOVA RD, SUITE 5, MAUMEE, OH 43537-1863
(419) 893-5757
(419) 893-5399
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003428
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36003428
OH
213ES0131X
Foot Surgery Podiatrist
36003428
OH
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us