LAKEWOOD AMBULATORY FOOT CEN (NPI# 1942489257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942489257 |
Entity Type | Organization |
Organization Name | LAKEWOOD AMBULATORY FOOT CEN |
Other Organization Name | LAKEWOOD AMBULATORY FOOT CENTER |
Practice Address |
3386 Warren Road Cleveland OH 44111-0000 |
Mailing Address |
3386 Warren Rd Cleveland OH 44111-2031 |
Practice Telephone | 2169410233 |
Practice Fax Number | 2169410235 |
Mailing Telephone | 2169410233 |
Mailing Fax Number | 2169410235 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2019-10-09 |
Authorized Official Name | DR. STEPHEN PAUL SMIK (PRESIDENT) |
Authorized Official Telephone | 2169410233 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
36002511 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | RAILROAD MEDICARE | CL1324 | 01 |
OH | 0740336 | 05 |
Other Name | Type Code |
---|---|
Lakewood Ambulatory Foot Center | Doing Business As Name - Organization |
Street Address |
3386 WARREN ROAD |
City | CLEVELAND |
State | OH |
Zip Code | 44111-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
Find all providers in zip 44111 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538165626 | Cleveland Foot and Ankle Clinic | Clinic/Center | 10685 Carnegie Ave, Cleveland, OH 44106-3018 | 2005-06-23 |
1578689451 | Cleveland Foot and Ankle Clinic | Clinic/Center | 4415 Euclid Ave Ste 110, Cleveland, OH 44103-3757 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215232137 | Chagrin Valley Foot and Ankle Specialists Inc | Clinic/Center | 11850 Mayfield Rd, Suite 2, Chardon, OH 44024-8370 | 2011-01-25 |
1467652321 | Richmond Foot and Ankle Clinic | Clinic/Center | 5163 Belle Isle Dr, Dayton, OH 45439-3229 | 2007-07-19 |
1285232603 | Dominic Dipierro, Dpm, LLC | Clinic/Center | 5538 Philadelphia Dr, Dayton, OH 45415-3062 | 2020-10-16 |
1003440363 | Alliance and Salem Foot and Ankle Clinics | Clinic/Center | 440 E State St, Alliance, OH 44601-4910 | 2020-02-26 |
1104304260 | Mercy Health Physicians Youngstown LLC | Clinic/Center | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2018-08-01 |
1558849612 | Mercy Health Physicians Youngstown LLC | Clinic/Center | 564 E 2nd St, Salem, OH 44460 | 2018-08-01 |
1376044578 | Tozzi Foot & Ankle LLC | Clinic/Center | 6770 Mayfield Rd Ste 447, Mayfield Heights, OH 44124-2299 | 2018-02-22 |
1952783714 | Turner Podiatry Services, LLC | Clinic/Center | 3461 Warrensville Center Rd, Suite 201, Shaker Heights, OH 44122-5260 | 2015-06-29 |
1437530201 | University Hospitals | Clinic/Center | 27100 Chardon Rd, Richmond Hts, OH 44143-1116 | 2015-06-17 |
1851707913 | Community Medical Specialists | Clinic/Center | 1911 N Fairfield Rd, Suite 210, Beavercreek, OH 45432-2762 | 2014-07-09 |
Find all providers with the same taxonomy |
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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.