| Madison Lee Podiatry Inc | |
|
3691 Lee Rd, Suite 102, Shaker Heights, OH 44120-5145 | |
| (216) 491-9902 | |
| (216) 491-8151 |
| Full Name | Madison Lee Podiatry Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3691 Lee Rd, Shaker Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912955162 | NPI | - | NPPES |
| 2245814 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 2576 (Ohio) | Primary |
| Provider Name | Robert Thomas Portnow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962465708 PECOS PAC ID: 8820043359 Enrollment ID: I20060130000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Lee Podiatry Inc 3691 Lee Rd, Suite 102, Shaker Heights, OH 44120-5145 Ph: (216) 491-9902 | Madison Lee Podiatry Inc 3691 Lee Rd, Suite 102, Shaker Heights, OH 44120-5145 Ph: (216) 491-9902 |
Kenneth Lee Edwards, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3461 Warrensville Center Road, 303, Shaker Heights, OH 44122 Phone: 216-752-0727 | |
Advanced Foot & Ankle Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3461 Warrensville Center Rd, 201, Shaker Heights, OH 44122 Phone: 216-283-5030 Fax: 216-283-5037 | |
Adrienne Loretz, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3461 Warrensville Center Rd, Suite 201, Shaker Heights, OH 44122 Phone: 216-561-3303 Fax: 216-561-7790 | |
Dr. Clifton Dale Turner, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 3461 Warrensville Center Rd, Suite 201, Shaker Heights, OH 44122 Phone: 216-210-9946 | |
Dr. Robert Thomas Portnow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3691 Lee Rd, Ste 102, Shaker Heights, OH 44120 Phone: 216-491-9902 Fax: 216-491-8151 |