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GLENVILLE FOOT AND ANKLE CENTER INC. NPI 1760618714


NPI Information

NPI: 1760618714
Provider Name: GLENVILLE FOOT AND ANKLE CENTER, INC.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
10701 ST. CLAIR AVE.
CLEVELAND, OH
ZIP 44108
Phone: (216) 268-0800
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GLENVILLE FOOT AND ANKLE CENTER, INC. is a podiatrist in Cleveland, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GLENVILLE FOOT AND ANKLE CENTER, INC. NPI is 1760618714. The provider is registered as an organization entity type.

The provider's business location address is:

10701 ST. CLAIR AVE.
CLEVELAND, OH
ZIP 44108
Phone: (216) 268-0800
Fax: (216) 268-0801

The provider's authorized official is Sai Man Lee .
The authorized official title is President and has the following contact phone number (216) 268-0800.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 8/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies36003361OHIONo
2213E00000XPodiatristOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19383621MEDICARE PINOHIO
22973260MEDICAIDOHIO
36257520001MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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