Active NPI
The Foot and Ankle Clinic LLC
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
National Provider Identifier
1992801658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- THE FOOT AND ANKLE CLINIC LLC
- Practice address
- 15644 Madison Ave
213
Lakewood, OH 44107-5622 - Phone
- (216) 227-2194
- Fax
- (216) 227-2196
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina M Kovach, DPM
- Title
- Owner
- Phone
- (216) 227-2194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
15644 Madison Ave
213
Lakewood, OH 44107-5622
Mailing address
PO Box 80690
Canton, OH 44708-0690
Phone (330) 833-5692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2035158 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
8808 Tyler Blvd
Mentor, OH 44060
Phone (216) 227-2194
13500 Pearl Rd
Ste 139331
Strongsville, OH 44136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fort Defiance, AZ
- NPI 1154300556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230249600000",
"number": "1992801658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80690",
"city": "CANTON",
"state": "OH",
"postal_code": "447080690",
"telephone_number": "330-833-5692",
"fax_number": "330-833-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15644 MADISON AVE",
"address_2": "213",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075622",
"telephone_number": "216-227-2194",
"fax_number": "216-227-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FOOT AND ANKLE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2008-12-26",
"status": "A",
"authorized_official_last_name": "KOVACH",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-227-2194",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2035158",
"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 Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.