Organization Active NPI

Atta J Asef DPM LTD

Doing business as Lake Podiatry

  • Podiatrist
  • Euclid, OH
National Provider Identifier
1104000900
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
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
761 E 200TH St
Euclid, OH 44119-2504
Phone
(440) 383-9627
Fax
(440) 383-9629
NPI assigned
Dec 28, 2007
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Atta Asef, DPMNPI 1881626646
Title
Owner
Phone
(440) 953-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002887A OH Primary

Addresses

Primary practice location

761 E 200TH St
Euclid, OH 44119-2504

Mailing address

761 E 200TH St
Euclid, OH 44119-2504
Phone (440) 383-9627

Other names 1

  • Lake Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

761 E 200th St
Euclid, OH 44119
Phone (216) 383-9333

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1104000900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E 200TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192504",
            "telephone_number": "440-383-9627",
            "fax_number": "440-383-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E 200TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192504",
            "telephone_number": "440-383-9627",
            "fax_number": "440-383-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTA J ASEF DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-05-12",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.