LODI PODIATRY GROUP (NPI# 1750360699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750360699 |
| Entity Type | Organization |
| Organization Name | LODI PODIATRY GROUP |
| Other Organization Name | SHOCK THOMAS GEN PTR |
| Practice Address |
1300 W Lodi Ave Ste W Lodi CA 95242-3038 |
| Practice Telephone | 2093346664 |
| Practice Fax Number | 2093342379 |
| Mailing Telephone | 2093346664 |
| Mailing Fax Number | 2093342379 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | MRS. KERRY LYN MYERS (OFFICE MANAGER) |
| Authorized Official Telephone | 2093340429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E3241 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
E3241 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
E3467 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3241 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3467 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | E3467 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E32410 | 05 | |
| CA | 000E34670 | 05 |
| Other Name | Type Code |
|---|---|
| SHOCK THOMAS GEN PTR | Other Name - Individual/Organization |
| Street Address |
1300 W LODI AVE STE W |
| City | LODI |
| State | CA |
| Zip Code | 95242-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829431 | Kevin Irving Stroh | Podiatrist | 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3037 | 2005-05-31 |
| 1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
| 1336526045 | Michelle Otts | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2015-05-01 |
| 1962743906 | Alexander Scott Malm | Counselor | 1300 W Lodi Ave, G-2, Lodi, CA 95242-3000 | 2013-03-14 |
| 1619243763 | Preferred Prosthetics Inc | Prosthetic/Orthotic Supplier | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2012-03-22 |
| 1275837742 | Marshall E. Gomes | Dentist | 1300 W Lodi Ave, Suite N, Lodi, CA 95242-3000 | 2010-12-27 |
| 1881820751 | Karen Marie Rangel | Counselor | 1300 W Lodi Ave, Ste-g-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1417183385 | Alex R Anderson | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1942445440 | David R. Vera Sr. | Orthotist | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2008-12-11 |
| 1053535062 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 1300 W Lodi Ave, Ste G-2, Lodi, CA 95242-3000 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1457463044 | Charles David Kaplan | Podiatrist | 105 Union St, Lodi, NJ 07644-3226 | 2006-08-31 |
| 1053347385 | Scott Alan Goler | Podiatrist | 1 S Main St Ste 4, Lodi, NJ 07644-2235 | 2006-06-26 |
| 1104829431 | Kevin Irving Stroh | Podiatrist | 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3037 | 2005-05-31 |
| 1699816389 | Scott A. Goler, Dpm, PC | Podiatrist | 1 S Main St, Suite 4, Lodi, NJ 07644-2240 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LODI PODIATRY GROUP.
| 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.