Lake Oconee Foot and Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKE OCONEE FOOT AND ANKLE LLC

Practice address

1031 Village Park Dr
Suite 103
Greensboro, GA 30642-3755

Phone

(855) 663-8800

Fax

(855) 663-8800

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By 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. Allison J. A. Menke, DPM

Title

President

Phone

(494) 502-9881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Allison Joy Anders Menke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greensboro, GA
  • NPI 1457654899
  NPD

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1639553936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 VILLAGE PARK DR",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423755",
            "telephone_number": "855-663-8800",
            "fax_number": "855-663-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 VILLAGE PARK DR",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423755",
            "telephone_number": "855-663-8800",
            "fax_number": "855-663-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OCONEE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MENKE",
        "authorized_official_first_name": "ALLISON J.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "494-502-9881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Joy Lacy, DC
• Lake Medical Center
• Lake Oconee Assisted Living Home
• Lake Oconee Assisted Living, LLC (Kingdom Care Service Center)
• Lake Oconee Endodontics, LLC
• Lake Oconee Oral and Maxillofacial Surgery, P.C.
• Lake Oconee Orthopedics, LLC
• Lakeside Pediatric Dentistry, LLC
• Michelle M Lamm, AGNP-C
• Joshua M Lang, DO

• Podiatrist in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.