GLENVILLE FOOT AND ANKLE CENTER, INC. (NPI# 1760618714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760618714 |
| Entity Type | Organization |
| Organization Name | GLENVILLE FOOT AND ANKLE CENTER, INC. |
| Practice Address |
10701 St. Clair Ave. Cleveland OH 44108 |
| Practice Telephone | 2162680800 |
| Practice Fax Number | 2162680801 |
| Mailing Telephone | 9312064362 |
| Mailing Fax Number | 6062575039 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | SAI MAN LEE (PRESIDENT) |
| Authorized Official Telephone | 2162680800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 36003361 | OH | Suppliers |
| Y | 213E00000X | Podiatrist | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2973260 | 05 |
| Street Address |
10701 ST. CLAIR AVE. |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| Find all providers in zip 44108 | ||||
| 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 |
| 1336468446 | Madison Lee Podiatry, Inc | Podiatrist | 6502 Detroit Ave, Cleveland, OH 44102-3014 | 2010-05-28 |
| 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 |
| 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.