Triad Foot and Ankle Specialists, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TRIAD FOOT AND ANKLE SPECIALISTS, LLC

Practice address

15644 Madison Ave
Suite 217
Lakewood, OH 44107-5622

Phone

(216) 226-9108

Fax

(216) 226-9108

NPI assigned

Jan 5, 2006

Organization subpart

No

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

Authorized official

Name

Kathy J. Siesel, DPM

Title

President

Phone

(216) 226-9108

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1730167156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440700093",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE",
            "address_2": "SUITE 217",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "216-226-9108",
            "fax_number": "216-226-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD FOOT AND ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SIESEL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-226-9108",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA5380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.