Active NPI
Kettering Podiatry Associates LLC
- Foot & Ankle Surgery Podiatrist
- Kettering, OH
National Provider Identifier
1083630693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
- Last updated
- Nov 13, 2014
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
15 Southmoor Cir NE
Kettering, OH 45429-2451
Mailing address
15 Southmoor Cir NE
Kettering, OH 45429-2451
Phone (937) 293-6896
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Kettering, OH
- NPI 1134160906
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
- Kettering Medical Center (Kettering Health Pharmacy Main Campus)
- 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 Heights Post Acute)
- Kettering Urology Institute Inc
Sources for this page
- 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.