ODRO, FAZEKAS & WERD PA (NPI# 1831380799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831380799 |
| Entity Type | Organization |
| Organization Name | ODRO, FAZEKAS & WERD PA |
| Other Organization Name | FOOT & ANKLE ASSOCIATES |
| Practice Address |
2939 S Florida Ave Lakeland FL 33803-4046 |
| Practice Telephone | 8636873404 |
| Practice Fax Number | 8636874672 |
| Mailing Telephone | 8636873404 |
| Mailing Fax Number | 8636874672 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | DR. EDWARD A FAZEKAS (PRESIDENT) |
| Authorized Official Telephone | 8636873404 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | P00001370 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | P00002458 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | P00000788 | FL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Foot & Ankle Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417132952 | Odro, Fazekas & Werd Pa | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2008-01-03 |
| Street Address |
2939 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939424 | Marvin Odro | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2005-08-16 |
| 1417132952 | Odro, Fazekas & Werd Pa | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2008-01-03 |
| 1659363679 | Edward A Fazekas | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2005-08-16 |
| 1811989833 | Matthew B Werd | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1386758134 | James F Pruchniewski | Podiatrist | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2006-08-18 |
| 1447217971 | Janice Susan Albritton | Podiatrist | 627 Robin Rd, Lakeland, FL 33803-4840 | 2006-04-27 |
| 1831159136 | Eric Joel Breuggeman | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2006-03-23 |
| 1013988658 | Jeffrey C Karr | Podiatrist | 5421 S Florida Ave, Lakeland, FL 33813 | 2006-01-31 |
| 1366420606 | Lakeland Foot & Ankle Center Pa | Podiatrist | 1543 Lakeland Hills Blvd, Ste B, Lakeland, FL 33805-3246 | 2006-01-06 |
| 1316939424 | Marvin Odro | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2005-08-16 |
| 1770965824 | Specialist Doctors Group LLC | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2015-06-25 |
| 1669892402 | Quynh Tram Nhu Nguyen | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2014-04-20 |
| 1679998835 | Nichole Didley | Podiatrist | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2014-02-25 |
| 1417132952 | Odro, Fazekas & Werd Pa | Podiatrist | 2939 S Florida Ave, Lakeland, FL 33803-4046 | 2008-01-03 |
| Find all providers in LAKELAND | ||||
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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.