SCITUATE PODIATRY GROUP INC NPI 1497731657

NPI Information

  • NPI: 1497731657
  • Provider Name: SCITUATE PODIATRY GROUP INC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • CLIA Number: 22D2202585
  • Address: 2100 DORCHESTER AVE
    DORCHESTER CENTER, MA
    ZIP 02124
  • Phone: (617) 296-0742

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NPI Details

SCITUATE PODIATRY GROUP INC is a foot and ankle surgery podiatrist in Dorchester Center, MA. SCITUATE PODIATRY GROUP INC NPI is 1497731657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 DORCHESTER AVE
DORCHESTER CENTER, MA
ZIP 02124-615
Phone: (617) 296-0742
Fax: (617) 296-4357

The provider's authorized official is Gary W Count .
The authorized official title is Dpm/owner and has the following contact phone number (781) 545-9285.

The CLIA number assigned to this NPI record is 22D2202585 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 5/5/2008.

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
1213ES0103XPodiatristFoot & Ankle Surgery001515MASSACHUSETTSYes

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
1606371OTHERMASSACHUSETTSTUFTS GROUP #
2CH1562OTHERMASSACHUSETTSRAILROAD MEDICARE #
33073090OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
49781331MEDICAIDMASSACHUSETTS
5Y78009MEDICARE PINMASSACHUSETTS
65286200003MEDICARE NSCMASSACHUSETTS

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: 11/21/2025

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