Lake Podiatry – Podiatrist, NPI 1073793154

Lake Podiatry is a healthcare provider. based in Willoughby, Ohio. specializing in Podiatrist. The organization holds a License No. 36002887A (OH). The NPI Number for Lake Podiatry is 1073793154

Main info

Organization
Name
Lake Podiatry
NPI
1073793154
Phone
(440) 953-1003
Address
36001 EUCLID AVE
Authorized Official
ATTA ASEF OWNER DPM
Enumeration Date
6 November 2007
Last Update Date
14 December 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Lake Podiatry

  • 36001, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States

    WILLOUGHBY, OH 440944643

    Phone: (440) 953-1003

    Fax: (440) 953-3556

    Type: Mailing

  • Chagrin North IV, 35010, Chardon Road, Willoughby Hills, Lake County, Ohio, 44094, United States

    101A

    WILLOUGHBY HILLS, OH 440949010

    Phone: (440) 953-1003

    Fax: (440) 953-3556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44094)

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Reviews

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Frequently asked questions

How do payers reference Lake Podiatry?
For Lake Podiatry, use NPI 1073793154 as the unique 10-digit identifier.
Is Lake Podiatry shown as active in public data?
Registry records indicate Lake Podiatry maintains an active NPI.
How would a patient describe Lake Podiatry's focus?
For Lake Podiatry, the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Lake Podiatry?
Travel planning: use Willoughby, Ohio as the reference point for Lake Podiatry, then confirm.
Does Lake Podiatry accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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