Blyumin Foot & Ankle Clinic LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BLYUMIN FOOT & ANKLE CLINIC LTD

Practice address

1405 W. Morse Ave.
Chicago, IL 60626

Phone

(773) 743-5100

Fax

(773) 743-0932

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Leonid Blyumin, D.P.M.NPI 1326142548

Title

Dr./Owner

Phone

(773) 743-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Leonid Blyumin, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1326142548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1881798007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W. MORSE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "773-743-5100",
            "fax_number": "773-743-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W. MORSE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "773-743-5100",
            "fax_number": "773-743-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYUMIN FOOT & ANKLE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BLYUMIN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "773-743-5100",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004759",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Bly
• Blysss Behavioral Health, PLLC
• Ashley N Blythe, RN
• Jeffrey Blythe, LCSW
• Nicole Michelle Tabatabai Blythe, DNP, PMHNP-BC
• Leonid Blyumin, DPM
• BMS Pediatric Therapy Group, P.C.
• BND Transportation
• Bo Noordhoff Therapy, PLLC
• Htet Bo

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.