DR. MARK S. MASSIE, L.L.C.


Address: 15644 Madison Ave, Lakewood, OH 44107-5622
Phone: 2162212445

DR. MARK S. MASSIE, L.L.C. (NPI# 1053591321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053591321
Entity Type Organization
Organization Name DR. MARK S. MASSIE, L.L.C.
Practice Address 15644 Madison Ave
Lakewood
OH 44107-5622
Mailing Address Po Box 40450
Bay Village
OH 44140-0450
Practice Telephone 2162212445
Practice Fax Number 2162215891
Mailing Telephone 4408714700
Mailing Fax Number 4408714702
Enumeration Date 2007-11-05
Last Update Date 2009-08-27
Authorized Official Name DR. MARK S MASSIE (PODIATRIST)
Authorized Official Telephone 2162212445
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 3074 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH MEDICARE RAILROAD GROUP PIN NUMBER DE5695 01
OH 2876351 05

Office Location

Street Address 15644 MADISON AVE
City LAKEWOOD
State OH
Zip Code 44107-5622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679574156 West Side Cardiothoracic Surgeons, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 15644 Madison Ave, Suite #202, Lakewood, OH 44107-5622 2005-08-09
1215311931 Sara Perry Chiropractor 15644 Madison Ave, Ste 213, Lakewood, OH 44107-5622 2015-07-13
1770962565 Royalty Care Services LLC Hospice Care, Community Based 15644 Madison Ave, Ste 207, Lakewood, OH 44107-5622 2015-05-26
1205245669 Donna Rakerd Social Worker 15644 Madison Ave, Lakewood, OH 44107-5622 2014-08-10
1104240019 Premier Physicians Centers, Inc. Durable Medical Equipment & Medical Supplies 15644 Madison Ave, Suite 213, Lakewood, OH 44107-5622 2014-02-12
1538334545 Outreach Professional Services, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 15644 Madison Ave, Suite 202, Lakewood, OH 44107-5622 2008-04-30
1396928883 Premier Physicians Centers, Inc Clinical Medical Laboratory 15644 Madison Ave, Suite 218, Lakewood, OH 44107-5622 2007-12-07
1053509869 Enrique Cotes Pathology 15644 Madison Ave, Suite 218, Lakewood, OH 44107-5622 2007-10-05
1629149307 Cynthia Ann Walsh Social Worker 15644 Madison Ave, Suite 108, Lakewood, OH 44107-5622 2006-11-13
1992801658 The Foot and Ankle Clinic LLC Podiatrist 15644 Madison Ave, 213, Lakewood, OH 44107-5622 2006-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225646979 New West Physicians, P.C. Podiatrist 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 2020-07-20
1326571308 Randi Jean Keefe Podiatrist 1312 Donald Ave, Lakewood, OH 44107-2851 2017-04-06
1043662158 Kristina Eunjeong Chang Podiatrist 3700 E South Street, Lakewood, CA 90805 2016-07-13
1790931087 Paul H Eisenberg, Dpm Inc Podiatrist 14900 Detroit Ave, Lakewood, OH 44107-3923 2008-08-18
1225255086 Kurt Gustavson Podiatrist 6216 Whisper Ln Sw, Lakewood, WA 98499-1139 2007-04-20
1689719619 Rosa Montemayor Dpm PC Podiatrist 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 2007-02-20
1235279993 Michael Joseph Beauclair Podiatrist 1415 Blossom Park Ave, Lakewood, OH 44107-4401 2007-02-08
1568576528 James F Eggold Podiatrist 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712-2761 2006-08-18
1154385284 Paul Thomas Voegeli Jr. Podiatrist 165 South Union Boulevard, Suite 322, Lakewood, CO 80228-2211 2006-04-14
1619954302 Ronald J Lancz Podiatrist 105 River Avenue, Building B Suite #303, Lakewood, NJ 08701 2005-12-23
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 44107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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