Mark S Massie, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

3600307M Issued in OH

Practice address

15644 Madison Ave
106
Lakewood, OH 44107-5622

Phone

(216) 221-2445

Fax

(216) 221-5891

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Mark S. Massie, L.L.C.

  • Podiatrist
  • Lakewood, OH
  • NPI 1053591321
  Medicare reassignment NPD Authorized official
• Lake County Foot & Ankle Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Mentor, OH
  • NPI 1770605347
  Medicare reassignment NPD
• Excelpodiatry Care LLC

  • Podiatrist
  • Murfreesboro, TN
  • NPI 1568259406

  OH

  Medicare reassignment
• Lake County Foot & Ankle Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Wadsworth, OH
  • NPI 1154128064
  NPD
• Premier Physicians Centers Inc

  • Durable Medical Equipment & Medical Supplies
  • Westlake, OH
  • NPI 1679201479

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279324800000",
    "number": "1538110648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40450",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441400450",
            "telephone_number": "440-871-4700",
            "fax_number": "440-871-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE",
            "address_2": "106",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "216-221-2445",
            "fax_number": "216-221-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2010-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "3600307M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066204",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00301287",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Patrick Markowitz, DC
• Alejandro Martinez Jr., MSW, LISW
• Ellery Caitlin Martinko
• Emily Marvin, LSW
• Mary Hildenbrand, PH.D., LLC
• Anamaria Massier, MD
• Tracy Loye Masterson, PH.D.
• Kendra Anne Mathys, PSYD
• Megan M Matthews, LPCC
• Daniel Michael Mazzeo, LISW-S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.