Madison Lee Podiatry Inc

LBN: Madison Lee Podiatry Inc
Madison Lee Podiatry Inc is an health care organization with primary practice located at 3691 Lee Rd Suite 102, Shaker Heights OH 44120-5145. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Madison Lee Podiatry Inc can be contacted via phone (216) 491-9902, or through Portnow, Robert Thomas via phone (216) 491-9902.

Contact Information

Primary practice address
3691 Lee Rd Suite 102 Shaker Heights OH 44120-5145
Phone: (216) 491-9902
Fax: (216) 491-8151
Website:
Map and Directions
Authorized official contact:
Name: Portnow, Robert Thomas Doctor of Podiatric Medicine (DPM)
Phone: (216) 491-9902

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2576 Ohio

Profile Details

NPI number 1912955162
LBN Legal business name Madison Lee Podiatry Inc
DBA Doing business as
Authorized official Portnow, Robert Thomas Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jun 21st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912955162 NPPES
Ohio MEDICAID 2245814

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