Individual provider Active NPI

Laurence John Lembach, DPM

  • Primary Podiatric Medicine Podiatrist
  • Lakewood, OH
National Provider Identifier
1972565844
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36001762 Issued in OH
Practice address
13535 Detroit Ave
Suite 7
Lakewood, OH 44107-4625
Phone
(216) 226-2444
Fax
(216) 226-3112
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36001762 OH Primary

Addresses

Primary practice location

13535 Detroit Ave
Suite 7
Lakewood, OH 44107-4625

Mailing address

13535 Detroit Ave
Suite 7
Lakewood, OH 44107-4625
Phone (216) 226-2444

Other identifiers 10

IdentifierTypeStateIssuer
P35653478OtherOHPRINCIPAL MULTI PLAN
0310425MedicaidOH
55396OtherOHQUALCHOICE
10196OtherOHKAISER PERMANENTE
2700750OtherOHUNITED HEALTHCARE
791480328OtherOHRAILROAD MEDICARE
000000143072OtherOHANTHEM BCBS
346747145026OtherOHCARESOURCE
L01762OtherOHSUMMACARE
0004297638OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1762OHMDChiropractor
36001762OHMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Foot and Ankle Clinic Past Accepting new patients
Dr Bodman Podiatry Associates Inc Primary Podiatric Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1972565844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13535 DETROIT AVE",
            "address_2": "SUITE 7",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074625",
            "telephone_number": "216-226-2444",
            "fax_number": "216-226-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 DETROIT AVE",
            "address_2": "SUITE 7",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074625",
            "telephone_number": "216-226-2444",
            "fax_number": "216-226-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBACH",
        "first_name": "LAURENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36001762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL MULTI PLAN",
            "identifier": "P35653478",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "55396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "10196",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700750",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791480328",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000143072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "346747145026",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "L01762",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004297638",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.