| North Eastern Ohio Podiatry Group Llc | |
|
35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 | |
| (440) 953-3668 | |
| (440) 953-3556 |
| Full Name | North Eastern Ohio Podiatry Group Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 35010 Chardon Rd, Willoughby Hills, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447529656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Ohio) | Primary |
| Provider Name | Vadim Glukh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164406195 PECOS PAC ID: 5597730143 Enrollment ID: I20041001000915 |
| Provider Name | Brian A Koludrovich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295806248 PECOS PAC ID: 8325141047 Enrollment ID: I20070316000177 |
| Mailing Address | Practice Location Address |
|---|---|
| North Eastern Ohio Podiatry Group Llc 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 Ph: (440) 953-3668 | North Eastern Ohio Podiatry Group Llc 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 Ph: (440) 953-3668 |
Lake Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 35010 Chardon Rd, 101a, Willoughby Hills, OH 44094 Phone: 440-953-1003 Fax: 440-953-3556 | |
Dr. Timothy Jason Levar, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34600 Chardon Rd, Suite 9, Willoughby Hills, OH 44094 Phone: 440-585-5258 Fax: 440-944-5278 | |
Dr. Vadim Glukh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094 Phone: 440-953-3668 Fax: 440-953-3556 | |
Dr. Mark A. Tozzi Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34600 Chardon Road, Suite 9, Willoughby Hills, OH 44094 Phone: 440-944-5255 Fax: 440-944-5278 | |
Dr. Brian Andrew Koludrovich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35010 Chardon Rd Ste 101a, Willoughby Hills, OH 44094 Phone: 440-953-3668 Fax: 440-953-3556 | |
Howard Waxman Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094 Phone: 440-571-5515 Fax: 440-571-5537 |