Kettering Podiatry Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KETTERING PODIATRY ASSOCIATES LLC

Practice address

15 Southmoor Cir NE
Kettering, OH 45429-2451

Phone

(937) 293-6896

Fax

(937) 293-9150

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lancing P Malusky, DPM

Title

Owner/President

Phone

(937) 293-6896

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1083630693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR CIR NE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292451",
            "telephone_number": "937-293-6896",
            "fax_number": "937-293-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR CIR NE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292451",
            "telephone_number": "937-293-6896",
            "fax_number": "937-293-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "MALUSKY",
        "authorized_official_first_name": "LANCING",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "937-293-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kettering Medical Center
• Kettering Network Radiologists Inc
• Kettering Pathology Associates Inc
• Kettering Physiatrists, Inc.
• Kettering Physician Network
• Kettering Radiologist Imaging Center
• Kettering Reproductive Health, LLC
• Kettering Reproductive Laboratory Inc
• Kettering SNF Healthcare LLC
• Kettering Urology Institute Inc

• Foot & Ankle Surgery Podiatrist in Kettering, OH
• Providers in Kettering, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.