DR. LARRY L LODGE (NPI# 1497748354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497748354 |
| Entity Type | Individual |
| Full Name | DR. LARRY L LODGE |
| Credential | D.P.M. |
| Practice Address |
200 Route 73 Ste 3 Voorhees NJ 08043-9542 |
| Mailing Address |
200 B Route 73, Suite 3 Garden State Foot Care Voorhees NJ 08043-9542 |
| Practice Telephone | 8567531300 |
| Practice Fax Number | 8567682965 |
| Mailing Telephone | 8567531300 |
| Mailing Fax Number | 8567682965 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD002054 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 538006 | 05 |
| Street Address |
200 ROUTE 73 STE 3 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-9542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| 1083884084 | Amy B Herskowitz | Podiatrist | 2301 E Evesham Rd Ste 302, Voorhees, NJ 08043-4503 | 2008-03-05 |
| 1114003589 | Stephen Jay Dickstein | Podiatrist | 53 Woodstone Dr, Voorhees, NJ 08043-4749 | 2006-10-28 |
| 1518995414 | Renee Vekkos | Podiatrist | 118 Eaton Pl, Voorhees, NJ 08043-1141 | 2006-06-29 |
| 1033196670 | Warren Bruce Mangel | Podiatrist | 805 Cooper Rd Ste 4, Voorhees, NJ 08043-3814 | 2005-12-25 |
| 1255332946 | Steven Fine | Podiatrist | 406 Willowbrook Way, Voorhees, NJ 08043-1640 | 2005-08-03 |
| 1316313380 | Foot and Ankle Care of South Jersey, LLC | Podiatrist | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | 2015-08-13 |
| 1992101745 | Foot and Ankle Specialists of South Jersey | Podiatrist | 117 White Horse Rd E, Voorhees, NJ 08043-2503 | 2014-11-06 |
| 1790128767 | Rinsa Mathews | Podiatrist | 2225 Evesham Road, Suite 101, Voorhees, NJ 08043 | 2013-04-09 |
| 1659668846 | Jeffrey Scott Rosenman | Podiatrist | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | 2011-07-07 |
| Find all providers in VOORHEES | ||||
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| 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.