Lake Podiatry – Podiatrist, NPI 1104000900

Podiatrist

Lake Podiatry is a healthcare provider. based in Euclid, Ohio. specializing in Podiatrist. The organization holds a License No. 36002887A (OH). The NPI Number for Lake Podiatry is 1104000900

Main info

Organization

Name

Lake Podiatry

NPI

1104000900

Phone

(440) 383-9627

Address

761 E 200TH ST

Authorized Official

ATTA ASEF OWNER DPM

Enumeration Date

28 December 2007

Last Update Date

12 May 2008

Data current as of

20 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

761, East 200th Street, Euclid, Cuyahoga County, Ohio, 44119, United States
EUCLID, OH 441192504
Phone: (440) 383-9627
Fax: (440) 383-9629
Mailing address matches the actual address.

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 44119)

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Reviews

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Frequently asked questions

What identifier follows Lake Podiatry across health systems?

The NPI 1104000900 uniquely identifies Lake Podiatry in U.S. healthcare data.

Should I treat Lake Podiatry as an active provider?

Patients and plans typically see Lake Podiatry as active in the national extract.

What does the directory say Lake Podiatry does?

Insurance directories may phrase it differently, but here Lake Podiatry maps to Podiatrist. Clinical services aligned with this taxonomy classification.

Is Lake Podiatry tied to Euclid, Ohio?

If you are local to Euclid, Ohio, Lake Podiatry may be relevant to your search.

Why is information missing for Lake Podiatry?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.