Active NPI 1114928355 Individual Practitioner Male Practitioner

Dr. Michael Robert Maher , DPM

Podiatrist • Greenville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Maher, DPM is a certified Podiatrist practicing in Greenville, OH. With approximately 28 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 1998, Dr. Maher delivers high-quality medical care to the local community at 415 W RUSS RD.

Dr. Maher is affiliated with Western Ohio Podiatric Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, strapping, unna boot, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

415 W Russ Rd

Greenville, OH 453312457

Telephone 9375481244

Fax 9375488898

Associated Practice Facility / Clinic

🏢 Western Ohio Podiatric Medical Center Inc Facility NPI 1376643411

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Greenville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +8.7 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Greenville, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maher (28 Years) 28 Yrs

Greenville Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,106	665	$61.00	$40.55
29580 Strapping, unna boot	570	58	$120.00	$71.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	509	191	$65.00	$51.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	321	72	$84.00	$67.85
11721 Removal of fingernails or toenails, 6 or more nails	256	100	$61.00	$21.97
99213 Established patient office or other outpatient visit, typically 15 minutes	232	138	$115.00	$82.99
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	228	42	$199.47	$104.07
11720 Removal of fingernails or toenails, 1-5 nails	198	123	$44.00	$29.80
29540 Placement of strapping to ankle or foot	176	73	$48.84	$26.62
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	149	26	$103.00	$70.29
73630 X-ray of foot, minimum of 3 views	96	68	$40.00	$30.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	47	$150.00	$116.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$165.00	$103.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44	25	$55.00	$36.77
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$101.00	$66.14
11720 Removal of fingernails or toenails, 1-5 nails	36	30	$44.00	$13.14
73610 X-ray of ankle, minimum of 3 views	28	22	$51.00	$31.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$180.00	$154.83
11042 Removal of skin and tissue, 20.0 sq cm or less	25	16	$161.00	$115.60
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	25	$161.00	$122.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$161.00	$122.01
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	19	19	$96.00	$72.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	12	$112.00	$98.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,113	668	$61.00	$42.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	789	256	$65.00	$53.54
29580 Strapping, unna boot	655	78	$138.89	$81.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	579	93	$84.00	$71.28
11721 Removal of fingernails or toenails, 6 or more nails	286	95	$61.00	$23.14
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	155	43	$103.00	$73.29
29540 Placement of strapping to ankle or foot	137	60	$50.26	$28.50
11720 Removal of fingernails or toenails, 1-5 nails	130	90	$44.13	$30.85
73630 X-ray of foot, minimum of 3 views	84	62	$40.00	$31.99
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$101.00	$68.82
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	80	16	$229.50	$120.43
99213 Established patient office or other outpatient visit, typically 15 minutes	77	60	$115.00	$86.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$165.00	$103.77
11042 Removal of skin and tissue, 20.0 sq cm or less	41	21	$161.00	$121.04
11720 Removal of fingernails or toenails, 1-5 nails	36	24	$44.00	$14.23
73610 X-ray of ankle, minimum of 3 views	23	17	$51.00	$33.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	19	19	$113.00	$77.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$161.00	$128.34
73650 X-ray of heel, minimum of 2 views	16	14	$35.00	$26.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$113.00	$77.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,212	722	$61.00	$42.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	761	254	$65.00	$54.43
29580 Strapping, unna boot	548	89	$143.07	$85.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	398	91	$84.00	$66.28
11721 Removal of fingernails or toenails, 6 or more nails	246	78	$61.00	$23.77
99202 New patient office or other outpatient visit, typically 20 minutes	114	114	$101.00	$70.38
29540 Placement of strapping to ankle or foot	105	49	$45.86	$27.45
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	89	17	$103.00	$80.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	74	39	$55.00	$42.03
73630 X-ray of foot, minimum of 3 views	68	52	$40.00	$32.88
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$115.00	$87.73
11720 Removal of fingernails or toenails, 1-5 nails	56	24	$44.00	$31.21
11042 Removal of skin and tissue, 20.0 sq cm or less	46	14	$161.00	$125.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$165.00	$108.93
99335 Established patient assisted living visit, typically 25 minutes	25	12	$113.00	$91.28
73650 X-ray of heel, minimum of 2 views	21	20	$35.00	$27.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$87.00	$69.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$161.00	$123.79
73610 X-ray of ankle, minimum of 3 views	18	14	$51.00	$35.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$161.00	$123.70
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$113.00	$86.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,397	787	$61.00	$43.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	784	223	$65.05	$54.37
29580 Strapping, unna boot	531	85	$124.96	$83.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	277	65	$84.00	$67.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	142	40	$55.00	$42.76
11721 Removal of fingernails or toenails, 6 or more nails	106	59	$61.00	$24.19
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	104	19	$200.91	$116.89
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	92	26	$103.00	$81.73
73630 X-ray of foot, minimum of 3 views	91	62	$40.00	$32.19
99335 Established patient assisted living visit, typically 25 minutes	88	19	$113.00	$92.99
29540 Placement of strapping to ankle or foot	88	46	$47.56	$28.34
99213 Established patient office or other outpatient visit, typically 15 minutes	86	61	$105.23	$89.00
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$101.00	$70.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$143.42	$107.55
11720 Removal of fingernails or toenails, 1-5 nails	52	28	$44.00	$30.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	39	$161.00	$126.27
11042 Removal of skin and tissue, 20.0 sq cm or less	37	17	$161.00	$125.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	25	$27.54	$21.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$87.00	$70.48
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	22	$113.00	$87.55
29580 Strapping, unna boot	22	16	$114.91	$33.83
73610 X-ray of ankle, minimum of 3 views	19	14	$45.74	$34.73
73650 X-ray of heel, minimum of 2 views	12	11	$35.00	$27.37
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	11	11	$96.00	$75.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,185	761	$61.00	$44.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	919	229	$59.15	$43.77
29580 Strapping, unna boot	786	113	$112.61	$84.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	418	87	$84.00	$68.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	233	63	$55.00	$43.28
99335 Established patient assisted living visit, typically 25 minutes	138	18	$113.00	$93.95
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	122	15	$73.00	$59.33
29540 Placement of strapping to ankle or foot	97	38	$47.78	$29.01
73630 X-ray of foot, minimum of 3 views	65	47	$40.00	$30.89
11720 Removal of fingernails or toenails, 1-5 nails	63	37	$44.00	$31.34
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$101.00	$72.85
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	58	19	$103.00	$83.22
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	55	55	$113.00	$89.64
11042 Removal of skin and tissue, 20.0 sq cm or less	50	19	$161.00	$121.27
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$85.00	$72.62
11721 Removal of fingernails or toenails, 6 or more nails	43	24	$61.00	$25.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$132.00	$104.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$27.00	$21.99
73610 X-ray of ankle, minimum of 3 views	14	14	$41.00	$32.77
73650 X-ray of heel, minimum of 2 views	12	11	$35.00	$26.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,755	836	$61.00	$43.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,025	266	$59.00	$42.02
29580 Strapping, unna boot	714	128	$109.80	$75.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	504	113	$84.00	$66.70
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	222	78	$55.00	$42.79
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	170	19	$103.00	$82.14
29540 Placement of strapping to ankle or foot	106	47	$49.67	$29.31
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$101.00	$73.28
73630 X-ray of foot, minimum of 3 views	81	64	$40.00	$29.30
99213 Established patient office or other outpatient visit, typically 15 minutes	71	49	$85.00	$71.21
11720 Removal of fingernails or toenails, 1-5 nails	68	46	$44.00	$31.69
99335 Established patient assisted living visit, typically 25 minutes	64	13	$113.00	$92.64
11721 Removal of fingernails or toenails, 6 or more nails	55	25	$61.00	$24.93
11042 Removal of skin and tissue, 20.0 sq cm or less	53	21	$161.00	$116.14
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	34	15	$73.00	$58.61
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	34	$113.00	$85.85
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$123.00	$99.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$132.00	$104.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$87.00	$71.15
11055 Removal of single thickened skin growth	23	18	$64.00	$49.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	21	$27.00	$21.51
73650 X-ray of heel, minimum of 2 views	19	16	$35.00	$25.34
29580 Strapping, unna boot	19	16	$101.05	$34.92
73610 X-ray of ankle, minimum of 3 views	15	13	$41.00	$31.20
11056 Removal of noncancer thickened skin growth, 2-4 growths	15	12	$70.00	$63.61
99324 New patient assisted living visit, typically 20 minutes	12	12	$68.00	$53.55
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	12	$96.00	$78.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,786	922	$61.00	$42.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,115	309	$59.00	$40.62
29580 Strapping, unna boot	713	110	$110.68	$77.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	439	99	$84.00	$65.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	196	36	$103.00	$79.85
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	135	44	$55.00	$42.06
29540 Placement of strapping to ankle or foot	120	48	$52.88	$27.07
73630 X-ray of foot, minimum of 3 views	100	71	$40.00	$26.77
99335 Established patient assisted living visit, typically 25 minutes	76	12	$113.00	$89.70
11720 Removal of fingernails or toenails, 1-5 nails	74	52	$44.69	$30.75
99213 Established patient office or other outpatient visit, typically 15 minutes	74	61	$85.00	$68.03
11042 Removal of skin and tissue, 20.0 sq cm or less	70	26	$161.00	$108.17
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$101.00	$69.98
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	45	15	$73.00	$56.85
11721 Removal of fingernails or toenails, 6 or more nails	39	19	$61.00	$24.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	29	$27.00	$19.77
97597 Removal of tissue from wound, 20.0 sq cm or less	32	13	$93.00	$76.19
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	31	31	$113.00	$86.54
99221 Initial hospital inpatient care per day, typically 30 minutes	28	22	$123.00	$96.79
11055 Removal of single thickened skin growth	28	19	$64.00	$44.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$87.00	$69.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$132.00	$101.11
99324 New patient assisted living visit, typically 20 minutes	25	25	$68.00	$51.67
11056 Removal of noncancer thickened skin growth, 2-4 growths	24	15	$70.00	$54.33
73650 X-ray of heel, minimum of 2 views	19	15	$35.00	$24.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	2,826	830	$61.00	$40.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	991	259	$59.00	$38.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	396	89	$84.00	$62.60
29580 Strapping, unna boot	320	85	$104.80	$61.56
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	139	36	$103.00	$76.88
99213 Established patient office or other outpatient visit, typically 15 minutes	110	75	$85.00	$65.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	97	38	$55.00	$40.47
73630 X-ray of foot, minimum of 3 views	85	66	$40.00	$25.53
99335 Established patient assisted living visit, typically 25 minutes	75	18	$113.00	$86.43
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$101.00	$66.66
11720 Removal of fingernails or toenails, 1-5 nails	66	50	$44.00	$28.80
11042 Removal of skin and tissue, 20.0 sq cm or less	63	26	$161.00	$100.75
29540 Placement of strapping to ankle or foot	58	30	$48.10	$24.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$132.00	$97.36
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	48	47	$113.00	$83.36
11055 Removal of single thickened skin growth	46	34	$64.00	$42.19
11056 Removal of noncancer thickened skin growth, 2-4 growths	45	29	$70.00	$52.08
11721 Removal of fingernails or toenails, 6 or more nails	38	19	$61.00	$23.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	31	$27.00	$17.87
73610 X-ray of ankle, minimum of 3 views	28	20	$41.00	$25.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$87.00	$65.97
97597 Removal of tissue from wound, 20.0 sq cm or less	26	15	$93.00	$66.17
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$123.00	$93.12
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	19	11	$73.00	$54.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	13	$112.00	$83.11
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	12	$96.00	$72.38

Medical Specialties & State Licenses

CMS Verified: 2021-03-31

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36-00-3109M

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2197304 (OH)

Hospital & Practice Group Affiliations

Western Ohio Podiatric Medical Center Inc

415 W Russ Rd, Greenville, OH 453312457

Phone: 9375481244

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Andrew Schwartz , DPM

Podiatrist

NPI 1174902076

Doctor of Podiatric Medicine

Dr. Matthew Painting , DPM

Podiatrist

NPI 1386960870

Doctor of Podiatric Medicine

Dr. C Trimble , DPM

Podiatrist

NPI 1417959347

Doctor of Podiatric Medicine

Dr. Jennifer Stevens , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1720057284

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2015

Registered at 415 W RUSS RD, GREENVILLE, OH 453312457 (Tel: 9375481244)

📍

Updated Business Mailing Address November 09, 2015

Registered at 415 W RUSS RD, GREENVILLE, OH 453312457 (Tel: 9375481244)

👤

Provider Name / Credentials Updated November 09, 2015

Recorded as MICHAEL MAHER, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Podiatrist (License #36-00-3109M in OH)

🟢

Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114928355

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2005

Last Update: March 31, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

415 W Russ Rd

Greenville, OH 453312457

Phone: 9375481244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.