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STURBRIDGE FOOT CARE PC NPI 1740403955


NPI Information

NPI: 1740403955
Provider Name: STURBRIDGE FOOT CARE, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
118 MAIN ST
SUITE 4
STURBRIDGE, MA
ZIP 01566
Phone: (508) 347-4900
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STURBRIDGE FOOT CARE, PC is a podiatrist in Sturbridge, 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. STURBRIDGE FOOT CARE, PC NPI is 1740403955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 MAIN ST
SUITE 4
STURBRIDGE, MA
ZIP 01566-533
Phone: (508) 347-4900
Fax: (508) 347-9339

The provider's authorized official is Michael Charles Jedrzynski .
The authorized official title is President and has the following contact phone number (508) 347-4900.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist2129MASSACHUSETTSYes

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
1=========OTHERMED PRO PLUS
2Y77291OTHERBLUE CROSS BLUE SHIELD
3W20203301OTHERCIGNA
4=========OTHERONE HEALTH
59706194MEDICAIDMASSACHUSETTS
627-02436OTHERUNITED HEALTH PLANS
7983819OTHERNETWORK HEALTH
8=========OTHERUNICARE
9Y75066MEDICARE ID-TYPE UNSPECIFIED
102574157OTHERAETNA US HEALTHCARE
1155384OTHERFALLON
12=========OTHERGALAXY
13=========OTHERMULTIPLAN
14333414OTHERHARVARD PILGRIM
15687-470OTHERTUFTS
16U75242MEDICARE UPIN

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

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