Organization
NORTHEAST OHIO FOOT AND WOUND CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J LAPOLLA JR. DPM (PRESIDENT)
(330) 856-4444
Entity
Organization
Contact information
Practice address
8588 E MARKET ST, WARREN, OH 44484-2339
(330) 856-4444
(330) 856-9033
Mailing address
8588 E MARKET ST, WARREN, OH 44484-2339
(330) 856-4444
(330) 856-9033
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36.003129
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
SC005955
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
36.002617
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003389L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0659269
MEDICARE IDENTIFICATION NUMBER
—
05
—
2308667
—
OH
Enumeration date
02/05/2007
Last updated
04/29/2024
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