NPIMap

Organization Active NPI

Lake County Foot & Ankle Associates, LLC

  • Podiatrist
  • Chardon, OH
National Provider Identifier
1124864855
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC
Practice address
325 Center St Ste 3
Chardon, OH 44024-1193
Phone
(440) 306-5359
Fax
(440) 255-9400
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Theresa M Fauver
Title
Manager
Phone
(440) 357-8418

Specialties & licenses 1

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

Addresses

Primary practice location

325 Center St Ste 3
Chardon, OH 44024-1193

Mailing address

8334 Mentor Ave Ste 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Other practice location 1

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-1222

National Provider Directory

National Provider Directory
Tax ID family
Lake Co Foot Ankle As13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

325 Center St
Ste 3
Chardon, OH 44024
Phone (440) 285-2456

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1124864855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 MENTOR AVE STE 100",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605757",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTER ST STE 3",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241193",
            "telephone_number": "440-306-5359",
            "fax_number": "440-255-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Elyria St",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "OH",
            "postal_code": "442541031",
            "country_code": "US",
            "telephone_number": "330-948-1222",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FAUVER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-357-8418"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.