Stanley Luksenburg

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002120 Issued in OH

Legal business name

STANLEY LUKSENBURG

Practice address

21475 Lorain Rd
Fairview Park, OH 44126-2124

Phone

(440) 356-1118

NPI assigned

Jun 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley A Luksenburg, DPMNPI 1407996069

Title

Owner

Phone

(440) 356-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairview Podiatry Clinic Doing business as

Locations

Practitioners 1

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

• Stanley Luksenburg, DPM

  • Podiatrist
  • Fairview Park, OH
  • NPI 1407996069
  NPD (past) Authorized official

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1124223532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262124",
            "telephone_number": "440-356-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262124",
            "telephone_number": "440-356-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY LUKSENBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LUKSENBURG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-356-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Podiatry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest General Health Center
• Southwest General Home Health LLC
• Specialty Teleradiology, Inc.
• Sprenger Home Healthcare, LLC
• William Squires
• Grace Steiner, MSW
• Benjamin Steinman, OD
• Taylor Stergar
• Christine Stives, CCC-SLP
• Renee E Supers, LSW

• Podiatrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.