Active NPI
Dr Jerome J Lamendola LLC
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36002157
- Legal business name
- DR JEROME J LAMENDOLA LLC
- Practice address
- 15810 Detroit Ave
Lakewood, OH 44107-3711 - Phone
- (216) 529-1800
- Fax
- (216) 529-3201
- NPI assigned
- May 27, 2010
- 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
- Ms. Judy Klecan
- Title
- Office Manager
- Phone
- (216) 529-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36002157 | OH | Primary |
Addresses
Primary practice location
15810 Detroit Ave
Lakewood, OH 44107-3711
Mailing address
15810 Detroit Ave
Lakewood, OH 44107-3711
Phone (216) 529-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3068077 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Westlake, OH
- NPI 1770802829
O20100720000486
National Provider Directory
National Provider DirectoryLocations
15810 Detroit Ave
Lakewood, OH 44107
Phone (216) 226-7512
4325 Green Rd
Warrensville Heights, OH 44128
Phone (216) 464-7400
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot & Ankle Surgery Podiatrist
- Westlake, OH
- NPI 1770802829
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Lakewood, OH
- NPI 1073541231
-
- Foot & Ankle Surgery Podiatrist
- Westlake, OH
- NPI 1801539812
-
- Podiatrist
- Lakewood, OH
- NPI 1649704149
-
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
- NPI 1740282607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1154640217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15810 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073711",
"telephone_number": "216-529-1800",
"fax_number": "216-529-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073711",
"telephone_number": "216-529-1800",
"fax_number": "216-529-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JEROME J LAMENDOLA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "KLECAN",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "216-529-1800",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36002157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3068077",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.