Grand Lake Podiatry, Inc
NPI 1164694428 · Foot & Ankle Surgery Podiatrist · Minster, OH
Grand Lake Podiatry, Inc is a Foot & Ankle Surgery Podiatrist organization in Minster, OH (NPI 1164694428).
Provider details
- NPI number
- 1164694428
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mary Benjamin-Swonger, Podiatrist/Owner-President(419) 586-7874
- License
- 36 002772 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2008-04-18
Frequently asked questions
- What is Grand Lake Podiatry, Inc's NPI number?
- Grand Lake Podiatry, Inc's National Provider Identifier (NPI) is 1164694428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Podiatry, Inc?
- Grand Lake Podiatry, Inc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Grand Lake Podiatry, Inc located?
- Grand Lake Podiatry, Inc's practice location on file with NPPES is 6 Eagle Dr, Minster, OH 45865-9714.
- What is Grand Lake Podiatry, Inc's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Podiatry, Inc is (419) 628-7874.
- Who is the authorized official for Grand Lake Podiatry, Inc?
- The authorized official listed on Grand Lake Podiatry, Inc's NPPES record is Mary Benjamin-Swonger, Podiatrist/Owner-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Podiatry, Inc's NPI active?
- Yes — Grand Lake Podiatry, Inc's NPI (1164694428) is active in the NPPES registry as of the last update on 2008-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.