Madison Lee Podiatry, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2576 Issued in OH

Legal business name

MADISON LEE PODIATRY, INC

Practice address

6502 Detroit Ave
Cleveland, OH 44102-3014

Phone

(216) 631-6080

Fax

(216) 651-5002

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Thomas Portnow, D.P.M.

Title

President

Phone

(216) 631-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1336468446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023014",
            "telephone_number": "216-631-6080",
            "fax_number": "216-651-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023014",
            "telephone_number": "216-631-6080",
            "fax_number": "216-651-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON LEE PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "PORTNOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-631-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2245814",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harikrishnan Madhavankuttysanthakumari
• Toufik Z. Madhun, M.D.
• Rohan Madhyani
• Juliette Madigan
• Madison Group Home
• Jenna Madison
• Keith Madison Sr.
• Lily Madison
• Marie Lynn Madison, LPN
• Rhyan Maditz, DO, MHSA

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.