Progressive Podiatry
LBN: Bryan Fallis
Progressive Podiatry is an health care organization with primary practice located at 4415B Aicholtz Rd Ste 200 , Cincinnati OH 45245-5135. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Bryan Fallis can be contacted via phone (513) 931-0083, or through Fallis, Bryan V. via phone (513) 931-0083.
Contact Information
Primary practice address
4415B Aicholtz Rd Ste 200
Cincinnati OH 45245-5135
Phone: (513) 931-0083
Fax: (859) 331-2449
Website:
Authorized official contact:
Name: Fallis, Bryan V. Doctor of Podiatric Medicine (DPM)
Phone: (513) 931-0083
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1649405259 |
|---|---|
| LBN Legal business name | Bryan Fallis |
| DBA Doing business as | Progressive Podiatry |
| Authorized official | Fallis, Bryan V. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2009 |
| Last updated | May 14th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649405259 | NPPES |
| Ohio | MEDICAID | 2214213 | |
| Ohio | MEDICAID | 2955422 | |
| Ohio | Other | 000000619072 |
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