Balance: Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BALANCE: FOOT AND ANKLE, LLC

Practice address

4789 Leavitt Rd
Lorain, OH 44053-2136

Phone

(216) 658-0111

NPI assigned

Sep 8, 2021

Organization subpart

Yes

Parent organization

BALANCE FOOT AND ANKLE LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Lynne Prezioso, DPM

Title

Owner

Phone

(216) 658-0111

Specialties & licenses 1

Addresses

Part of

Balance Foot and Ankle LLC

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1346919925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074510",
            "telephone_number": "216-658-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532136",
            "telephone_number": "216-658-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE: FOOT AND ANKLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALANCE FOOT AND ANKLE LLC",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PREZIOSO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-658-0111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Bago, LPN
• Amy Bailey, CDCA
• Luevenia Donella Bailey, CDCA
• Rodriquez Bailey Jr.
• Rachael Baker, LISW-SUPV
• Barry Allan Balderson
• Darea Ballard
• Shirley E Banks Sr.
• Annette Rosie Barahona, MA
• Sarah Barbee, LPCC

• Foot & Ankle Surgery Podiatrist in Lorain, OH
• Providers in Lorain, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.