Lara S Poduska DPM LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

LARA S PODUSKA DPM LLC

Practice address

24816 Aurora Rd Ste a
Bedford Heights, OH 44146-6908

Phone

(216) 662-0027

NPI assigned

Oct 24, 2012

Last updated

Dec 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Poduska

Title

Gen PTR

Phone

(216) 662-0027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lara Sue Poduska, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Bedford Heights, OH
  • NPI 1356346860
  Medicare reassignment NPD

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1023361318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24816 AURORA RD STE A",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441466908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24816 AURORA RD STE A",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441466908",
            "telephone_number": "216-662-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA S PODUSKA DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "PODUSKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "216-662-0027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Bedford Heights, OH
• Providers in Bedford Heights, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.