Active NPI
Laurence John Lembach, DPM
- Primary Podiatric Medicine Podiatrist
- Lakewood, OH
National Provider Identifier
1972565844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 36001762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P35653478 | Other | OH | PRINCIPAL MULTI PLAN |
| 0310425 | Medicaid | OH | |
| 55396 | Other | OH | QUALCHOICE |
| 10196 | Other | OH | KAISER PERMANENTE |
| 2700750 | Other | OH | UNITED HEALTHCARE |
| 791480328 | Other | OH | RAILROAD MEDICARE |
| 000000143072 | Other | OH | ANTHEM BCBS |
| 346747145026 | Other | OH | CARESOURCE |
| L01762 | Other | OH | SUMMACARE |
| 0004297638 | Other | OH | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1762 | OH | MD | Chiropractor |
| 36001762 | OH | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Podiatric Clinic/Center
- Cleveland, OH
- NPI 1538165626
-
- Foot & Ankle Surgery Podiatrist
- Fairview Park, OH
- NPI 1215008735
Primary Podiatric Medicine
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.