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Grand Lake Podiatry Inc

Foot & Ankle Surgery Podiatrist in Springfield, OH · enumerated 2008 · authorized official Mary Benjamin-Swonger, Podiatrist/Owner-President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184896177

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Lake Podiatry Inc
Practice address 2624 Lexington Ave, Springfield, OH, 45505
Phone (937) 322-3346
Fax (937) 322-3348
Enumeration date Mar 31, 2008
Last updated in NPPES Jun 9, 2011

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 36 002772 (OH) Primary

Authorized official

Name Mary Benjamin-Swonger
Title Podiatrist/Owner-President
Phone (419) 586-7874

Other identifiers

Identifier Type State Issuer
2544885 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grand Lake Podiatry Inc?
NPPES lists Mary Benjamin-Swonger (Podiatrist/Owner-President) as the authorized official for this organization.
What is the NPI number for Grand Lake Podiatry Inc?
The NPI for Grand Lake Podiatry Inc is 1184896177, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-09.