Lakewood Ambulatory Foot Cen

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

36002511 Issued in OH

Legal business name

LAKEWOOD AMBULATORY FOOT CEN

Doing business as

Lakewood Ambulatory Foot Center

Practice address

3386 Warren Road
Cleveland, OH 44111-0000

Phone

(216) 941-0233

Fax

(216) 941-0235

NPI assigned

Nov 2, 2007

Last updated

Oct 9, 2019By 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. Stephen Paul Smik, D.P.M.NPI 1306957162

Title

President

Phone

(216) 941-0233

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakewood Ambulatory Foot Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

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.

• Stephen Paul Smik, DPM

  • Podiatrist
  • Cleveland, OH
  • NPI 1306957162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1942489257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 WARREN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112031",
            "telephone_number": "216-941-0233",
            "fax_number": "216-941-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 WARREN ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441110000",
            "telephone_number": "216-941-0233",
            "fax_number": "216-941-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD AMBULATORY FOOT CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SMIK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-941-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OH",
            "license": "36002511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740336",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL1324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Ambulatory Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ammaar Abdullah Lakes
• Valerie Suzanne Lakes, APRN
• Lakeshore Intergenerational School
• Lakeshore Pond LLC
• Lakeside Preparatory Academy
• Lakewood Hospital Professional Services
• Lakeyta's Fingerprint Service LLC
• Milton M Lakin, MD
• Lakireddy Dental PC
• Trisha Lal

• Podiatric Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatric Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.