THE FOOT AND ANKLE CLINIC LLC


Address: 15644 Madison Ave, 213, Lakewood, OH 44107-5622
Phone: 2162272194

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 2035158 05

Other Provider IDs and Locations

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

Office Location

Street Address 15644 MADISON AVE
213
City LAKEWOOD
State OH
Zip Code 44107-5622

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LAKEWOOD
Zip Code 44107

Improve Information

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Dataset Information

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.

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