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SHORELINE PODIATRY INC NPI 1932133006


NPI Information

NPI: 1932133006
Provider Name: SHORELINE PODIATRY, INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
24 SALT POND RD
UNIT E-1
WAKEFIELD, RI
ZIP 02879
Phone: (401) 783-2424
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SHORELINE PODIATRY, INC is a podiatrist in Wakefield, RI. 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. SHORELINE PODIATRY, INC NPI is 1932133006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 SALT POND RD
UNIT E-1
WAKEFIELD, RI
ZIP 02879-314
Phone: (401) 783-2424
Fax: (401) 789-2095

The provider's authorized official is James I Mccormick .
The authorized official title is President and has the following contact phone number (401) 783-2424.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/26/2008.


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
1213E00000XPodiatristYes

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
11358102OTHERRHODE ISLANDAETNA COMMERCIAL
29004977MEDICAIDRHODE ISLAND
31358102OTHERRHODE ISLANDAETNA HMO
4=========OTHERRHODE ISLANDCIGNA
5=========OTHERRHODE ISLANDUNITED HEALTH CARE
66042760001MEDICARE NSCRHODE ISLAND
7489004977MEDICARE PINRHODE ISLAND
8PT SS#-TAX ID#204928OTHERRHODE ISLANDRAILROAD MEDICARE
9=========OTHERRHODE ISLANDTAX ID #
10=========OTHERRHODE ISLANDBLUE CHIP OF RI
111909AOTHERRHODE ISLANDNEIGHBORHOOD HEALTH
12=========OTHERRHODE ISLANDTRI CARE
13=========OTHERRHODE ISLANDBCBS OF RI
14=========OTHERRHODE ISLANDHARVARD PILGRIM

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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