NPIMap

Organization Active NPI

Lewis P Carrozza DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Midlothian, IL
National Provider Identifier
1699871509
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LEWIS P CARROZZA DPM PC
Doing business as
lewis p carrozza dpm pc
Practice address
4417 147TH St
Midlothian, IL 60445-2643
Phone
(708) 388-3910
Fax
(708) 388-3911
NPI assigned
Sep 16, 2006
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Lewis P Carrozza, DPMNPI 1588612527
Title
Owner
Phone
(708) 388-3910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

4417 147TH St
Midlothian, IL 60445-2643

Mailing address

4417 147TH St
Midlothian, IL 60445-2643
Phone (708) 388-3910

Other identifiers 1

IdentifierTypeStateIssuer
60001033OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • lewis p carrozza dpm pc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1699871509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 147TH ST",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452643",
            "telephone_number": "708-388-3910",
            "fax_number": "708-388-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 147TH ST",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452643",
            "telephone_number": "708-388-3910",
            "fax_number": "708-388-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS P CARROZZA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "CARROZZA",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-388-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60001033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lewis p carrozza dpm pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.