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DR. NICOLE MARIE SURDOCK D.P.M. NPI 1174674436


NPI Information

NPI: 1174674436
Provider Name: DR. NICOLE MARIE SURDOCK, D.P.M.
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
47 PENNY LN
SUITE 1
WATSONVILLE, CA
ZIP 95076
Phone: (831) 728-8844
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DR. Nicole Marie Surdock, D.P.M. is a primary podiatric medicine podiatrist in Watsonville, CA with 18 years of experience. DR. Nicole Marie Surdock, D.P.M. NPI is 1174674436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2006

The provider's business location address is:

47 PENNY LN
SUITE 1
WATSONVILLE, CA
ZIP 95076-055
Phone: (831) 728-8844

The NPI 1174674436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of single thickened skin growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 1/15/2007 and was last updated on 2/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryEL 1671CALIFORNIANo
2213EP1101XPodiatristPrimary Podiatric MedicineE4802CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E 4802OTHERCALIFORNIACALIFORNIA STATE LICENSE- DOCOTR OF PODIATRIC MEDICINE AND ANKLE SURGERY
2EL 1671OTHERCALIFORNIAD.P.M. RESIDENT'S LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.