THE FOOT AND ANKLE CLINIC LLC (NPI# 1992801658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992801658 |
Entity Type | Organization |
Organization Name | THE FOOT AND ANKLE CLINIC LLC |
Practice Address |
15644 Madison Ave 213 Lakewood OH 44107-5622 |
Mailing Address |
Po Box 80690 Canton OH 44708-0690 |
Practice Telephone | 2162272194 |
Practice Fax Number | 2162272196 |
Mailing Telephone | 3308335692 |
Mailing Fax Number | 3308336085 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2008-12-26 |
Authorized Official Name | KRISTINA M KOVACH (OWNER) |
Authorized Official Telephone | 2162272194 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2035158 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720312069 | The Foot and Ankle Clinic LLC | Clinic/Center | 32900 Detroit Rd, Avon, OH 44011-2018 | 2009-09-18 |
1174657977 | The Foot and Ankle Clinic LLC | Podiatrist | 1730 W 25th St, 2e, Cleveland, OH 44113-3108 | 2007-03-15 |
1275667958 | The Foot and Ankle Clinic LLC | Podiatrist | 4330 W 150th St, 220, Cleveland, OH 44135-1362 | 2007-03-15 |
Street Address |
15644 MADISON AVE 213 |
City | LAKEWOOD |
State | OH |
Zip Code | 44107-5622 |
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 |
1053591321 | Dr. Mark S. Massie, L.L.C. | Podiatrist | 15644 Madison Ave, Lakewood, OH 44107-5622 | 2007-11-05 |
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 |
Find all providers in the same location |
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 Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972086882 | Tagaloa-tulifau Foot and Ankle Center, Inc. | Podiatrist | 5220 Clark Ave Ste 315, Lakewood, CA 90712-2635 | 2018-09-07 |
1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
1093948051 | Manooj Prasad Dpm LLC | Podiatrist | 637 River Ave Ste B, Lakewood, NJ 08701-5227 | 2009-08-25 |
1144262718 | Center for Advanced Foot & Ankle Care | Podiatrist | 1195 Rt 70, Unit 12, Lakewood, NJ 08701 | 2006-06-11 |
1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
1871083766 | Flippin Foot and Ankle LLC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2018-05-16 |
1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
1356892681 | Balance Medical and Wellness Group LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-10-21 |
1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
Find all providers in LAKEWOOD |
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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.