YOO FOOT AND ANKLE PODIATRY LLC. NPI 1952848103

NPI Information

NPI: 1952848103
Provider Name: YOO FOOT AND ANKLE PODIATRY, LLC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2110 DORCHESTER AVE STE 203
DORCHESTER, MA
ZIP 02124
Phone: (617) 696-5355
Get Directions

YOO FOOT AND ANKLE PODIATRY, LLC. is a foot and ankle surgery podiatrist in Dorchester, MA. YOO FOOT AND ANKLE PODIATRY, LLC. NPI is 1952848103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2110 DORCHESTER AVE STE 203
DORCHESTER, MA
ZIP 02124
Phone: (617) 696-5355
Fax: (617) 696-5357

The provider's authorized official is Ki-hyuk Yoo .
The authorized official title is Dpm/owner and has the following contact phone number (716) 536-2090.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 12/19/2018.

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			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	110122599A	MEDICAID	MASSACHUSETTS

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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