| Lake Podiatry | |
|
35010 Chardon Rd, 101a, Willoughby Hills, OH 44094-9010 | |
| (440) 953-1003 | |
| (440) 953-3556 |
| Full Name | Lake Podiatry |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 35010 Chardon Rd, Willoughby Hills, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073793154 | NPI | - | NPPES |
| 2085023 | Medicaid | OH | |
| 3025514 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36002887A (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Podiatry 36001 Euclid Ave, Willoughby, OH 44094-4643 Ph: (440) 953-1003 | Lake Podiatry 35010 Chardon Rd, 101a, Willoughby Hills, OH 44094-9010 Ph: (440) 953-1003 |
Dr. Timothy Jason Levar, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34600 Chardon Rd Unit 8, Willoughby Hills, OH 44094 Phone: 440-585-5258 Fax: 440-944-5278 | |
Dr. Vadim Glukh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094 Phone: 440-953-3668 Fax: 440-953-3556 | |
Dr. Mark A. Tozzi Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34600 Chardon Road, Suite 9, Willoughby Hills, OH 44094 Phone: 440-944-5255 Fax: 440-944-5278 | |
Dr. Brian Andrew Koludrovich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35010 Chardon Rd Ste 101a, Willoughby Hills, OH 44094 Phone: 440-953-3668 Fax: 440-953-3556 | |
North Eastern Ohio Podiatry Group Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094 Phone: 440-953-3668 Fax: 440-953-3556 | |
Howard Waxman Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094 Phone: 440-571-5515 Fax: 440-571-5537 |