PODIATRIC HEALTHCARE P.C. NPI 1407933732

NPI Information

NPI: 1407933732
Provider Name: PODIATRIC HEALTHCARE, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9 WARREN CT
SALEM, MA
ZIP 01970
Phone: (978) 744-1309
Get Directions

PODIATRIC HEALTHCARE, P.C. is a foot and ankle surgery podiatrist in Salem, MA. PODIATRIC HEALTHCARE, P.C. NPI is 1407933732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 WARREN CT
SALEM, MA
ZIP 01970-163
Phone: (978) 744-1309
Fax: (978) 744-3783

The provider's authorized official is Gregory Marc Van Ess .
The authorized official title is President and has the following contact phone number (978) 744-1309.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/20/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	2119	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	693801	OTHER	MASSACHUSETTS	TUFTS
2	U74373	MEDICARE UPIN	MASSACHUSETTS
3	9721941	MEDICAID	MASSACHUSETTS
4	Y78021	OTHER	MASSACHUSETTS	MEDICARE ID - TYPE UNSPECIFIED
5	Y77268	OTHER	MASSACHUSETTS	BLUE CROSS
6	DH0558	OTHER	MASSACHUSETTS	RAILROAD MEDICARE

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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