Atta J Asef DPM LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002887A Issued in OH

Legal business name

ATTA J ASEF DPM LTD

Doing business as

Lake Podiatry

Practice address

35010 Chardon Rd
101A
Willoughby Hills, OH 44094-9010

Phone

(440) 953-1003

Fax

(440) 953-3556

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Atta Asef, DPM

Title

Owner

Phone

(440) 953-1003

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lake Podiatry Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Animesh S Bhatia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
  • NPI 1801803762
  NPD (past)
• Kory Brownlee, DPM

  • Podiatrist
  • Delaware, OH
  • NPI 1467455170
  NPD (past)
• Vadim Glukh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Willoughby Hills, OH
  • NPI 1164406195
  NPD (past)
• Matthew Demore III, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Metter, GA
  • NPI 1659378750
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1073793154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36001 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944643",
            "telephone_number": "440-953-1003",
            "fax_number": "440-953-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD",
            "address_2": "101A",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949010",
            "telephone_number": "440-953-1003",
            "fax_number": "440-953-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTA J ASEF DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "ASEF",
        "authorized_official_first_name": "ATTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-953-1003",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085023",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.