| Avon Lake Podiatry Inc | |
|
32730 Walker Rd, Suite I-3, Avon Lake, OH 44012-4100 | |
| (440) 933-4021 | |
| (440) 933-7132 |
| Full Name | Avon Lake Podiatry Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 32730 Walker Rd, Avon Lake, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992864490 | NPI | - | NPPES |
| 480004004 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.002416 (Ohio) | Primary |
| Provider Name | Mark Gould |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740257302 PECOS PAC ID: 8527173764 Enrollment ID: I20101102000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Lake Podiatry Inc 32730 Walker Rd, Suite I-3, Avon Lake, OH 44012-4100 Ph: (440) 933-4021 | Avon Lake Podiatry Inc 32730 Walker Rd, Suite I-3, Avon Lake, OH 44012-4100 Ph: (440) 933-4021 |
North Shore Podiatry Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 515 Moore Rd, Suite 3, Avon Lake, OH 44012 Phone: 440-930-8637 | |
Dr. Robert Day Monroe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 32118 Augusta Dr, Avon Lake, OH 44012 Phone: 440-930-7799 Fax: 440-930-7799 | |
Dr. Mark David Gould, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 32730 Walker Rd, Suite I-3, Avon Lake, OH 44012 Phone: 440-933-4021 Fax: 440-933-7132 |