NPIMap

Organization Active NPI

Lake County Foot & Ankle Associates, LLC

  • Podiatrist
  • Garfield Heights, OH
National Provider Identifier
1962283952
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC
Practice address
12575 Rockside Rd Ste 104
Garfield Heights, OH 44125-4571
Phone
(216) 365-9700
Fax
(440) 255-9400
NPI assigned
Oct 6, 2023
Organization subpart
Yes
Parent organization
LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Theresa M Fauver
Title
Manager
Phone
(440) 357-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

12575 Rockside Rd Ste 104
Garfield Heights, OH 44125-4571

Mailing address

7482 Center St Unit 100
Mentor, OH 44060-5847
Phone (440) 357-8418

Other names 1

  • LCFA- GARFIELD HTS Other name

National Provider Directory

National Provider Directory
Tax ID family
Lake Co Foot Ankle As13 organizations share this tax ID, including this one
Part of
Lake Co Foot Ankle As

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1962283952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7482 CENTER ST UNIT 100",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605847",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD STE 104",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254571",
            "telephone_number": "216-365-9700",
            "fax_number": "440-255-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE COUNTY FOOT & ANKLE ASSOCIATES, LLC",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FAUVER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-357-8418"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCFA- GARFIELD HTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.