| Organization Name: | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP,LLC |
| NPI Number: | 1912398132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A SCHILLING (PRESIDENT) |
| Mailing Address: | 8307 Windham St Garrettsville |
| State: | OH US |
| Postal Code: | 442319406 |
| Phone Number: | 3305274088 |
| Fax Number: | 3305274089 |
| NPI Enumeration Date: | 02/10/2015 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36003130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |