Lake Foot and Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3114 Issued in FL

Legal business name

LAKE FOOT AND ANKLE PA

Doing business as

Lakeside Foot and Ankle Center

Practice address

1330 Citizens Blvd
Suite 301
Leesburg, FL 34748-3959

Phone

(352) 728-1252

Fax

(352) 728-0079

NPI assigned

Oct 12, 2006

Last updated

Oct 13, 2009By 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. Karsten S Weber, DPMNPI 1609898642

Title

Owner/President

Phone

(352) 728-1252

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakeside Foot and Ankle Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Karsten S. Weber, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, FL
  • NPI 1609898642
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole D Hancock, DPM

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, FL
  • NPI 1043217425
  Medicare reassignment Care Compare group NPD
• Alexander A. Stirling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, FL
  • NPI 1487610978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1780773317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CITIZENS BLVD",
            "address_2": "SUITE 301",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483959",
            "telephone_number": "352-728-1252",
            "fax_number": "352-728-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CITIZENS BLVD",
            "address_2": "SUITE 301",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483959",
            "telephone_number": "352-728-1252",
            "fax_number": "352-728-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KARSTEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-728-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG4530",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00436246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Centre Home Care, LLC
• Lake County Anesthesia Associates PA
• Lake County Neurology, PA
• Lake County Neurosurgicaland Spinal Institute (Michael G Hill MD PA)
• Lake ENT & FPS, PA (Lake Ear, Nose Throat and Facial Plastic Surgery Associates)
• Lake Harris Health Systems LLC (Lake Harris Home Care Services)
• Lake Harris Health Systems LLC (Lake Harris Health Center)
• Lake Hospitalist Inc
• Lake Internal Medicine PA
• Lake Medical Billing Services Inc (Leesburg Pulmonary Diagnostics)

• Foot & Ankle Surgery Podiatrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.