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SUMMIT PODIATRY INC NPI 1275659849


NPI Information

NPI: 1275659849
Provider Name: SUMMIT PODIATRY INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4113 OLEANDER DR
SUITE G
WILMINGTON, NC
ZIP 28403
Phone: (910) 791-1300
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SUMMIT PODIATRY INC is a podiatrist in Wilmington, NC. 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. SUMMIT PODIATRY INC NPI is 1275659849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4113 OLEANDER DR
SUITE G
WILMINGTON, NC
ZIP 28403-839
Phone: (910) 791-1300
Fax: (791) 791-4125

The provider's authorized official is Paul R Glaser .
The authorized official title is Dpm Owner and has the following contact phone number (910) 791-1300.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 9/27/2010.


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
1213E00000XPodiatrist116NORTH CAROLINAYes

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
11079890001MEDICARE NSCNORTH CAROLINA
20071418-99OTHERNEW YORKGHI
32728879OTHERNORTH CAROLINAUNITED HEALTHCARE
41659398OTHERNORTH CAROLINAOXFORD HEALTH UHC
5890802RMEDICAIDNORTH CAROLINA
62433642MEDICARE PINNORTH CAROLINA
7004264925OTHERNORTH CAROLINAAETNA
823656OTHERNORTH CAROLINAMEDCOST
9480922078OTHERNORTH CAROLINARAILROAD MEDICARE
10T50788MEDICARE UPINNORTH CAROLINA
110802ROTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
12P02480-31OTHERNEW YORKNY WORKERS COMP

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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