Lakeview Family Foot Care L.L.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

171 Issued in AL

Legal business name

LAKEVIEW FAMILY FOOT CARE L.L.C.

Practice address

1604 Blount Ave
Guntersville, AL 35976-1840

Phone

(256) 582-7486

Fax

(256) 582-9844

NPI assigned

Jul 17, 2007

Last updated

Jun 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Alfred Skaziak, DPMNPI 1265543524

Title

Podiatrist/Owner

Phone

(256) 582-7486

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

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.

• Lakeview Family Foot Care L.L.C.

  • Foot & Ankle Surgery Podiatrist
  • Albertville, AL
  • NPI 1851010789
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerard A. Skaziak, DPM

  • Foot Surgery Podiatrist
  • Guntersville, AL
  • NPI 1265543524
  Medicare reassignment NPD Authorized official
• Robson F Araujo, DPM

  • Foot Surgery Podiatrist
  • Albertville, AL
  • NPI 1548232374
  NPD (past)
• Philip M Traynor, D.P.M.

  • Podiatrist
  • Albertville, AL
  • NPI 1124019609
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1306045588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 404",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761840",
            "telephone_number": "256-582-7486",
            "fax_number": "256-582-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761840",
            "telephone_number": "256-582-7486",
            "fax_number": "256-582-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY FOOT CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "SKAZIAK",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "256-582-7486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP9341",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY PROVIDER#",
            "identifier": "000078853",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE #",
            "identifier": "2710035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51078853SKA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS #",
            "identifier": "38652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeside Clinic LLC
• Lakeside North Family Medicine, LLC (Lakeside North)
• Lakeside North Family Medicine, LLC (Lakeside North)
• Lakeside North, LLC
• Lakeview Eye Care, LLC (Lakeview Eye Care)
• Lakeview Orthodontics PC
• Emily Lamb, CCC-SLP
• Carl Robert Larson, D.M.D.
• Charles A Larson, MD
• Jan Lasseter, LPC

• Foot Surgery Podiatrist in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.