ATTA J ASEF DPM LTD NPI 1104000900

NPI Information

  • NPI: 1104000900
  • Provider Name: ATTA J ASEF DPM LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: LAKE PODIATRY
  • Address: 761 E 200TH ST
    EUCLID, OH
    ZIP 44119
  • Phone: (440) 383-9627

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NPI Details

ATTA J ASEF DPM LTD is a podiatrist in Euclid, 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. ATTA J ASEF DPM LTD NPI is 1104000900. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Podiatry.

The provider's business location address is:

761 E 200TH ST
EUCLID, OH
ZIP 44119-504
Phone: (440) 383-9627
Fax: (440) 383-9629

The provider's authorized official is Atta Asef .
The authorized official title is Owner and has the following contact phone number (440) 953-1003.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 5/12/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist36002887AOHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14771320004MEDICARE 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: 3/30/2025

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