Organization Active NPI

Lyle G Vasher D P M P a

  • Podiatrist
  • Englewood, FL
National Provider Identifier
1568555233
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1478 Issued in FL
Legal business name
LYLE G VASHER D P M P A
Practice address
1861 Placida Rd.
Suite# 103
Englewood, FL 34223-4911
Phone
(941) 474-5577
Fax
(941) 473-4145
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Lyle G. Vasher, D.P.M.
Title
Owner
Phone
(941) 474-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO1478 FL Primary

Addresses

Primary practice location

1861 Placida Rd.
Suite# 103
Englewood, FL 34223-4911

Mailing address

1861 Placida Rd.
Suite# 103
Englewood, FL 34223-4911
Phone (941) 474-5577

Other identifiers 1

IdentifierTypeStateIssuer
040952900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1861 Placida Rd
Ste 103
Englewood, FL 34223
Phone (941) 474-5577

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1568555233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD.",
            "address_2": "SUITE# 103",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234911",
            "telephone_number": "941-474-5577",
            "fax_number": "941-473-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD.",
            "address_2": "SUITE# 103",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234911",
            "telephone_number": "941-474-5577",
            "fax_number": "941-473-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE G VASHER D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "VASHER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-474-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040952900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.