NPIMap

Organization Active NPI

Great Lakes Podiatry Center, Inc

  • Podiatrist
  • Avon, OH
National Provider Identifier
1649467549
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0H 3122 Issued in OH
Legal business name
GREAT LAKES PODIATRY CENTER, INC
Practice address
1502 Lear Industrial Pkwy
Suite 1a
Avon, OH 44011-1379
Phone
(440) 937-5400
Fax
(440) 937-5533
NPI assigned
Sep 25, 2007
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Karen Martinko, DPM
Title
Physician/Owner/President
Phone
(440) 937-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0H 3122 OH Primary

Addresses

Primary practice location

1502 Lear Industrial Pkwy
Suite 1a
Avon, OH 44011-1379

Mailing address

1502 Lear Industrial Pkwy
Suite 1a
Avon, OH 44011-1379
Phone (440) 937-5400

National Provider Directory

National Provider Directory

Locations

2217 Wisteria Way
Avon, OH 44011
Phone (440) 282-4355

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1649467549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LEAR INDUSTRIAL PKWY",
            "address_2": "SUITE 1A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111379",
            "telephone_number": "440-937-5400",
            "fax_number": "440-937-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LEAR INDUSTRIAL PKWY",
            "address_2": "SUITE 1A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111379",
            "telephone_number": "440-937-5400",
            "fax_number": "440-937-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PODIATRY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MARTINKO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-937-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "0H 3122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.