DR. CAROL A DIVAIO DPM NPI 1487644936

NPI Information

NPI: 1487644936
Provider Name: DR. CAROL A DIVAIO, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
55 FRUIT ST YAW 3056
PODIATRY GROUP
BOSTON, MA
ZIP 02114
Phone: (617) 726-3487
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DR. Carol A Divaio, DPM is a podiatrist in Boston, MA. 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. DR. Carol A Divaio, DPM NPI is 1487644936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST YAW 3056
PODIATRY GROUP
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-3487
Fax: (617) 726-2739

The enumeration date for this NPI number is 10/26/2005 and was last updated on 8/1/2012.

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
1	213E00000X	Podiatrist		1888	MASSACHUSETTS	Yes

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
1	Y70893	OTHER	MASSACHUSETTS	BCBS MA
2	0362735	MEDICAID	MASSACHUSETTS
3	Y70893	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	718636	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
5	T25465	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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