NPIMap

Organization Active NPI

Plymouth Podiatry PC

  • Podiatrist
  • Plymouth, MA
National Provider Identifier
1003309444
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2152 Issued in MA
Legal business name
PLYMOUTH PODIATRY PC
Practice address
116 Court St Ste 3
Plymouth, MA 02360-8710
Phone
(508) 747-1973
Fax
(508) 747-5392
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sherree Smith, DPMNPI 1801848163
Title
Provider/Owner
Phone
(508) 747-1973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2152 MA Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

116 Court St Ste 3
Plymouth, MA 02360-8710

Mailing address

116 Court St Ste 3
Plymouth, MA 02360-8710
Phone (508) 747-1973

Other practice location 1

400 West St Ste 2
Brockton, MA 02301-4170
Phone (508) 747-1973

Other practice location 2

68 Camp St Ste 2
Hyannis, MA 02601-3048
Phone (774) 470-4507

Other practice location 3

675 Paramount Dr Ste 204
Raynham, MA 02767-5416
Phone (508) 936-3028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190506000335 MA DME Supplier - Physician - Podiatry 8820335003 Practice locations: Plymouth, MA
O20190621001375 MA Part B Supplier - Clinic/Group Practice 8820335003 Receives reassigned benefits from 4 practitioners
Practice locations: Brockton, MA; Plymouth, MA; Raynham, MA

National Provider Directory

National Provider Directory

Locations

400 Main St
Ste 2
Brockton, MA 02301

135 Sandwich St
Ste 1
Plymouth, MA 02360
Phone (508) 747-1973

116 Court St
Ste 3
Plymouth, MA 02360
Phone (508) 746-2138

135 Sandwich St
Plymouth, MA 02360
Phone (508) 746-4410

72 Washington St
Ste 240
Taunton, MA 02780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18003/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGJBD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1003309444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973",
            "fax_number": "508-747-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973",
            "fax_number": "508-747-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 West St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014170",
            "country_code": "US",
            "telephone_number": "508-747-1973",
            "fax_number": "508-747-5392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Camp St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013048",
            "country_code": "US",
            "telephone_number": "774-470-4507",
            "fax_number": "774-810-7189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Paramount Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675416",
            "country_code": "US",
            "telephone_number": "508-936-3028",
            "fax_number": "508-828-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLYMOUTH PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHERREE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "508-747-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2152",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.