MADISON LEE PODIATRY, INC (NPI# 1336468446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336468446 |
| Entity Type | Organization |
| Organization Name | MADISON LEE PODIATRY, INC |
| Practice Address |
6502 Detroit Ave Cleveland OH 44102-3014 |
| Practice Telephone | 2166316080 |
| Practice Fax Number | 2166515002 |
| Mailing Telephone | 2166316080 |
| Mailing Fax Number | 2166515002 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | DR. ROBERT THOMAS PORTNOW (PRESIDENT) |
| Authorized Official Telephone | 2166316080 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2576 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2245814 | 05 |
| Street Address |
6502 DETROIT AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44102-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138259 | Christian Bracero | Home Health Aide | 1285 W 91 St Upstairs, Cleveland, OH 44102 | 2020-09-15 |
| 1639702855 | Ohio Wellness Transit | Non-emergency Medical Transport (VAN) | 3295 W. 97th St, Cleveland, OH 44102 | 2020-02-17 |
| 1538655642 | Alayah Wypasek | Case Manager/Care Coordinator | 3201 West 73rd, Cleveland, OH 44102 | 2018-07-02 |
| 1811489826 | Kimberly Ann Leftridge | Home Health Aide | 2088 W. 95th, Down, Cleveland, OH 44102 | 2018-06-05 |
| 1407352800 | Peace By Piece Cleveland | Community/Behavioral Health | 10237 Berea Rd, Cleveland, OH 44102 | 2018-04-04 |
| 1285130922 | Ruthanne Gurcze | Counselor | 3201 W 73rd Street, Cleveland, OH 44102 | 2018-04-02 |
| 1619486297 | Kimberly Billue | Home Health Aide | 2205 W 106th Street, Lower, Cleveland, OH 44102 | 2017-09-26 |
| 1114446473 | Kalia Marie Woods | Student in an Organized Health Care Education/Training Program | 2045 W 95th St, Cleveland, OH 44102 | 2017-09-18 |
| 1255858437 | Michelle Leann Genet | Counselor | 10427 Detroit Avenue, Cleveland, OH 44102 | 2017-08-28 |
| 1770033136 | Village Preparatory School IIi | Psychologist | 2220 W. 93rd St., Cleveland, OH 44102 | 2016-10-10 |
| Find all providers in zip 44102 | ||||
| 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 |
|---|---|---|---|---|
| 1265896500 | Lisa Fuchs | Podiatrist | 10701 East Blvd. W112, Cleveland, OH 44106 | 2016-04-13 |
| 1770680357 | Jeffrey D Solomon | Podiatrist | 6131 Saint Clair Ave, Cleveland, OH 44103-1627 | 2006-09-17 |
| 1306957162 | Stephen Paul Smik | Podiatrist | 3386 Warren Rd, Cleveland, OH 44111-2031 | 2006-08-31 |
| 1942229034 | Stanley Beekman | Podiatrist | 13333 Lorain Ave, 13333 Lorain Ave, Cleveland, OH 44111-3400 | 2006-07-19 |
| 1942241419 | Cheryl E. Chilton | Podiatrist | 2916 Central Ave, Cleveland, OH 44115-3229 | 2006-06-08 |
| 1366406423 | Patrick J Mckee | Podiatrist | 9500 Euclid Ave # Deska40, Cleveland, OH 44195-0001 | 2006-04-14 |
| 1427019074 | Faried Muntaser | Podiatrist | 11602 Kinsman Rd, Cleveland, OH 44120-4318 | 2006-03-31 |
| 1578547238 | Richard Lee Baker | Podiatrist | 2850 Ocoee St N, Bradley Family Foot Care Ste 1, Cleveland, TN 37312-5385 | 2005-12-05 |
| 1316945884 | Morris Tyrone Haywood | Podiatrist | 4415 Euclid Ave, #110, Cleveland, OH 44103 | 2005-07-08 |
| 1124024328 | Kathy Siesel | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2005-06-22 |
| Find all providers in CLEVELAND | ||||
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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.