Ms. Kimberly Sue Ciccero
Foot & Ankle Surgery
396 Portland Way North
Galion
, Ohio 44833
Ms. Kimberly Sue Ciccero
Foot & Ankle Surgery
396 Portland Way North
Galion
, Ohio 44833
(614) 239-1080
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Ms. Kimberly Sue Ciccero
- 3255 E Livingston Ave Po Box 27940
- Columbus, OH
- Zip : 43227-1923
- Fax : (614) 239-1080
- Phone : (614) 239-9444
Second Address
- Ms. Kimberly Sue Ciccero
- 396 Portland Way North
- Galion, OH
- Zip : 44833
- Fax : (419) 462-5037
- Phone : (419) 468-3668
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Is Ms. Kimberly Sue Ciccero a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 36003436 | OH |
National Provider Identifier
| NPI | 1083666036 |
|---|---|
| Provider Name | Ms. Kimberly Sue Ciccero |
| First Address | Columbus, OH 43227-1923 |
| Second Address | Galion, OH 44833 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 25/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000252794 | UNISON (01) | OH |
| 000000580187 | ANTHEM (01) | OH |
| 1366529653 | MEDICARE NPI (01) | OH |
| 1699074393 | MEDICARE NPI (01) | OH |
| 2657843 | (05) | OH |
| 310945970 | GREAT WEST (01) | OH |
| 5340555 | CIGNA (01) | OH |
| 7970774 | AETNA (01) | OH |
| 986832 | COVENTRY (01) | OH |
| 986832 | FIRST HEALTH NETWORK (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.