Organization
PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KREIGHBAUM (CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization
Contact information
Practice address
116 EAST AVE, TALLMADGE, OH 44278-2300
(216) 245-1290
(866) 571-4884
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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