OrganizationActive
Grand Lake Podiatry Inc
NPI 1992977987 · Foot & Ankle Surgery Podiatrist · Van Wert, OH
Provider details
- NPI number
- 1992977987
- 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
Detailed profile(87/100 index)
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
140 Fox Rd
Ste104
Van Wert, OH 45891-2475
Phone: (419) 586-7874
Fax: (419) 586-2776
Street-level locationGet directions
Mailing address
1222 Irmscher Blvd
Celina, OH 45822-8305
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2011-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.