BALANCE MEDICAL AND WELLNESS GROUP LLC (NPI# 1356892681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356892681 |
| Entity Type | Organization |
| Organization Name | BALANCE MEDICAL AND WELLNESS GROUP LLC |
| Practice Address |
14200 Madison Ave Lakewood OH 44107-4510 |
| Practice Telephone | 3306370348 |
| Practice Fax Number | 3306370048 |
| Mailing Telephone | 3306370348 |
| Mailing Fax Number | 3306370048 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. JENNIFER L PREZIOSO (OWNER) |
| Authorized Official Telephone | 3306370348 |
| 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 |
36-003502 | OH | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233823 | Balance Medical and Wellness Group LLC | Non-Pharmacy Dispensing Site | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-09-19 |
| Street Address |
14200 MADISON AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003897729 | Thomas P Cliffel | Ophthalmology | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2005-11-09 |
| 1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
| 1790233823 | Balance Medical and Wellness Group LLC | Non-Pharmacy Dispensing Site | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-09-19 |
| 1235390055 | Jennifer Lynne Prezioso | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107 | 2008-06-24 |
| 1730364621 | Thomas P Cliffel, Md, Inc | Clinic/Center | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2008-01-09 |
| 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 |
| 1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
| 1043693666 | Stefanie Ann Flippin | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226 | 2015-07-01 |
| 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.