Provider Demographics
NPI:1548480114
Name:DRS. KANE & KANE DPM CO., INC.
Entity type:Organization
Organization Name:DRS. KANE & KANE DPM CO., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:KANE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:216-587-4141
Mailing Address - Street 1:5025 TURNEY RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2530
Mailing Address - Country:US
Mailing Address - Phone:216-587-4141
Mailing Address - Fax:216-587-5491
Practice Address - Street 1:5025 TURNEY RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2530
Practice Address - Country:US
Practice Address - Phone:216-587-4141
Practice Address - Fax:216-587-5491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001660213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0431027Medicaid
OHDH0084OtherRAILROAD MEDICARE
OHDH0084OtherRAILROAD MEDICARE
OH6388270001Medicare NSC
OH0431027Medicaid