Taj a. Malik DPM PC Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

TAJ A. MALIK DPM PC INC

Practice address

5 Severance Cir
701
Cleveland Heights, OH 44118-1566

Phone

(216) 397-0999

Fax

(216) 397-0983

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Taj A Malik, DPMNPI 1972669752

Title

President

Phone

(216) 397-0999

Specialties & licenses 1

Addresses

Other names 1

• SEVERANCE MEDICAL FOOT AND ANKLE SPECIALISTS Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Taj A Malik, DPM

  • Podiatrist
  • Cleveland Heights, OH
  • NPI 1972669752
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1205197910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "701",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-397-0999",
            "fax_number": "216-397-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "701",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-397-0999",
            "fax_number": "216-397-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ A. MALIK DPM PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "TAJ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-397-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEVERANCE MEDICAL FOOT AND ANKLE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Supportive Advice, LLC
• Kerri Jo Sutton
• Teniece Sutton
• Ilga B Svechs, PHD
• Linda M Sylte, MASSOTHERAPIST
• Jamie Louise Takacs
• Dana L Talley, RPH.
• Aliah Tarrer
• Cassandra Tate, RN
• Brittney Sade Taylor

• Podiatric Clinic/Center in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Podiatric Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.

Verify at the official NPI Registry.