Dr Jerome J Lamendola LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002157 Issued in OH

Legal business name

DR JEROME J LAMENDOLA LLC

Practice address

29101 Health Campus Dr BLDG 2
#255
Westlake, OH 44145-5270

Phone

(216) 529-1800

Fax

(216) 529-3201

NPI assigned

May 27, 2010

Organization subpart

Yes

Parent organization

DR JEROME J LAMENDOLA LLCAs reported in NPPES

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

Authorized official

Name

Ms. Judy Klecan

Title

Office Manager

Phone

(216) 529-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr Jerome J Lamendola LLC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, OH
  • NPI 1154640217

  O20100720000486

  Same enrollment

Part of

Dr Jerome J Lamendola LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr Jerome J Lamendola LLC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, OH
  • NPI 1154640217
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raniea Sulieman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westlake, OH
  • NPI 1801539812
  NPD
• Carly Goebel, APRN-CNP

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1124638432
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1770802829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073711",
            "telephone_number": "216-529-1800",
            "fax_number": "216-529-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR BLDG 2",
            "address_2": "#255",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "216-529-1800",
            "fax_number": "216-529-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEROME J LAMENDOLA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR JEROME J LAMENDOLA LLC",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "KLECAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-529-1800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Dota, CRNA
• Mindi Doucette, MSSA
• Douglas Moinuddin
• Rebekah Joann Downs, OTR/L
• Dr Carl a Riemenschneider DDS
• Dr Michael Darr DC
• Dr. Aico H. Watanabe, D.D.S.
• Dr. Amber Hill PHD, LLC
• Dr. Manuel E. Gordillo Inc.
• Kendra Drake, RBT

• Foot & Ankle Surgery Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.