JEROME LAMENDOLA (NPI# 1740282607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740282607 |
| Entity Type | Individual |
| Full Name | JEROME LAMENDOLA |
| Practice Address |
15810 Detroit Ave Lakewood OH 44107-3711 |
| Mailing Address |
30575 Euclid Ave Wickliffe OH 44092-1037 |
| Practice Telephone | 2165291800 |
| Practice Fax Number | 2165293201 |
| Mailing Telephone | 4405163776 |
| Mailing Fax Number | 4405163783 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2011-01-24 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36-00-2157-L | OH | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0551095 | 05 |
| Street Address |
15810 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780099739 | Ashley Mandela | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2014-06-29 |
| 1154640217 | Dr Jerome J Lamendola LLC | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2010-05-27 |
| 1073541231 | Thomas E Emmert | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2006-06-28 |
| 1780612945 | Michael Gust Coppers | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2006-06-28 |
| 1598701294 | Paul T Cachat | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107 | 2006-06-21 |
| 1801885397 | Tom Adolph Corrigan | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-10-18 |
| 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 |
| 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 |
| 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.