Cerny Shoes, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18491238 Issued in OH

Legal business name

CERNY SHOES, INC.

Practice address

15002 Detroit Ave
Lakewood, OH 44107-3914

Phone

(216) 226-4361

Fax

(216) 226-4458

NPI assigned

Dec 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald A. Cerny

Title

President

Phone

(216) 226-4361

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cerny Shoes Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1003978701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073914",
            "telephone_number": "216-226-4361",
            "fax_number": "216-226-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073914",
            "telephone_number": "216-226-4361",
            "fax_number": "216-226-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERNY SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "CERNY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-226-4361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "18491238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerny Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lakewood, OH
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.