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Grand Lake Podiatry Inc

NPI 1184896177ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Springfield, OH

Podiatrist, Foot & Ankle Surgery in Springfield, Ohio, registered in NPPES in March 2008. The authorized official on file is Mary Katherine Benjamin-Swonger, DPM, Podiatrist/Owner-President.

Overview

NPI1184896177
StatusActive
Entity typeOrganization
NPI issuedMar 31, 2008
Last updated in NPPESJun 9, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103X36 002772OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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