LAKE ERIE PODIATRY, LLC
NPI 1922164409
Podiatrist - Foot & Ankle Surgery in Erie, PA

Q: What is Lake Erie Podiatry, LLC's NPI number?

The NPI number for Lake Erie Podiatry, LLC is 1922164409. It was assigned to this organization in the NPPES registry on December 28, 2006.

Q: What is Lake Erie Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since December 28, 2006

3910 CAUGHEY RD STE 130, ERIE, PA 16506(814) 833-3668(888) 329-6120 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Erie Podiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE ERIE PODIATRY, LLC (NPI 1922164409) is a healthcare organization registered as a foot & ankle surgery in Erie, Pennsylvania and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Erie and lists Michael A Ruiz, Manager, as its authorized official.

NPPES Registry Identity

NPI1922164409

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameLAKE ERIE PODIATRY, LLC

Location Address3910 CAUGHEY RD STE 130Erie, PA 16506

Mailing Address3910 Caughey Rd Ste 130Erie, PA 16506-4097 · (814) 833-3668

Phone(814) 833-3668

Fax(888) 329-6120

Organization SubpartNo

Authorized OfficialMichael A RuizManager · (814) 833-3668

Enumeration DateDecember 28, 2006

Last NPPES UpdateAugust 10, 2018

✔ NPI 1922164409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in PA · SC004630L

3910 CAUGHEY RD STE 130, Erie, PA 16506

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Secondary Practice Location 1

Location 11444 W 38th St, Suite AErie, PA 16508-2346 · Phone (814) 866-5141

Other Identifiers 2

Medicaid0019415170002PA

Other480035188PA · Medicare Rrb

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Erie Podiatry, LLC's NPI number?

The NPI number for Lake Erie Podiatry, LLC is 1922164409. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Lake Erie Podiatry, LLC located?

Lake Erie Podiatry, LLC is located at 3910 Caughey Rd Ste 130, Erie, PA 16506. The listed phone number is (814) 833-3668.

What is Lake Erie Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Lake Erie Podiatry, LLC was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.