Active NPI
Lee David Pearlman, DPM
- Foot Surgery Podiatrist
- Columbus, OH
National Provider Identifier
1255327607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 36002316
- Practice address
- 5920 Cleveland Ave
Columbus, OH 43231-6881 - Phone
- (614) 891-9994
- Fax
- (614) 891-4141
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 36002316 | OH | Primary |
Addresses
Primary practice location
5920 Cleveland Ave
Columbus, OH 43231-6881
Mailing address
1045 Beecher Xing N
Suite a
Gahanna, OH 43230-4573
Phone (614) 304-0019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0625274 | Medicaid | OH | |
| 10797384 | Other | OH | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2316 | OH | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1255327607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 BEECHER XING N",
"address_2": "SUITE A",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304573",
"telephone_number": "614-304-0019",
"fax_number": "614-304-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432316881",
"telephone_number": "614-891-9994",
"fax_number": "614-891-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "LEE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "OH",
"license": "36002316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0625274",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10797384",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.