Organization
AVON LAKE PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID GOULD DPM (PRESIDENT)
(440) 933-4021
Entity
Organization
Contact information
Practice address
32730 WALKER RD, SUITE I-3, AVON LAKE, OH 44012-4100
(440) 933-4021
(440) 933-7132
Mailing address
32730 WALKER RD, SUITE I-3, AVON LAKE, OH 44012-4100
(440) 933-4021
(440) 933-7132
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480004004
RAILROAD MEDICARE
OH
Enumeration date
12/08/2006
Last updated
05/29/2008
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