Provider Demographics
NPI:1548339872
Name:FRANGIAMORE, SALVATORE P (DPM)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:P
Last Name:FRANGIAMORE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4617 DEER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-5474
Mailing Address - Country:US
Mailing Address - Phone:330-799-3362
Mailing Address - Fax:
Practice Address - Street 1:603 N STATE ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-1748
Practice Address - Country:US
Practice Address - Phone:330-545-4993
Practice Address - Fax:330-545-5200
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002189213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH480031916OtherRAILROAD MEDICARE
OH000000193257OtherBLUE CROSS BLUE SHIELD
OH0635245Medicaid
OH0635245Medicaid
OHT80775Medicare UPIN