BOARD CERTIFIED FOOTCARE LLC NPI 1598657504

NPI Information

  • NPI: 1598657504
  • Provider Name: BOARD CERTIFIED FOOTCARE LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 111 BOSTON POST RD
    SUDBURY, MA
    ZIP 01776
  • Phone: (978) 443-4878

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NPI Details

BOARD CERTIFIED FOOTCARE LLC is a podiatrist in Sudbury, 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. BOARD CERTIFIED FOOTCARE LLC NPI is 1598657504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 BOSTON POST RD
SUDBURY, MA
ZIP 01776-463
Phone: (978) 443-4878

The provider's authorized official is Omid Navid Ebrahimi-sohi .
The authorized official title is Manager and has the following contact phone number (214) 504-4126.

The enumeration date for this NPI number is 7/16/2025 and was last updated on 8/21/2025.

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
1213EP1101XPodiatristPrimary Podiatric MedicineNo
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: 11/21/2025

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