LEPOER PODIATRY, INC. (NPI# 1871123372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871123372 |
| Entity Type | Organization |
| Organization Name | LEPOER PODIATRY, INC. |
| Practice Address |
1 Randall Sq Ste 408 Providence RI 02904-7405 |
| Practice Telephone | 4014532000 |
| Practice Fax Number | 4014532002 |
| Mailing Telephone | 4014532000 |
| Mailing Fax Number | 4014532002 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | KRYSIA LEPOER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4014532001 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287280 | Lepoer Podiatry, Inc. | Prosthetic/Orthotic Supplier | 1 Randall Sq Ste 408, Providence, RI 02904-7405 | 2020-02-20 |
| Street Address |
1 RANDALL SQ STE 408 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287280 | Lepoer Podiatry, Inc. | Prosthetic/Orthotic Supplier | 1 Randall Sq Ste 408, Providence, RI 02904-7405 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134486533 | Saint Barnabas Medical Center | Clinic/Center | 301 Mendon Rd, Woonsocket, RI 02895-2411 | 2012-04-23 |
| 1639357148 | Charles M Cavicchio, Dpm | Clinic/Center | 2 Wake Robin Rd, Suite 203, Lincoln, RI 02865-4241 | 2008-02-06 |
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on LEPOER PODIATRY, INC..
| 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.