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PLYMOUTH PODIATRY PC NPI 1083348791


NPI Information

NPI: 1083348791
Provider Name: PLYMOUTH PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
68 CAMP ST STE 2
HYANNIS, MA
ZIP 02601
Phone: (774) 470-4507
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PLYMOUTH PODIATRY PC is a podiatrist in Hyannis, 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. PLYMOUTH PODIATRY PC NPI is 1083348791. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

68 CAMP ST STE 2
HYANNIS, MA
ZIP 02601-048
Phone: (774) 470-4507
Fax: (774) 810-7189

The provider's authorized official is Michael J. Skonieczny .
The authorized official title is Owner Provider and has the following contact phone number (508) 747-1973.

The enumeration date for this NPI number is 7/11/2022 and was last updated on 7/11/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213E00000XPodiatristYes

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: 11/14/2023

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