Organization Active NPI

Seacoast Foot and Ankle Center PC

  • Foot & Ankle Surgery Podiatrist
  • Portland, ME
National Provider Identifier
1003663949
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SEACOAST FOOT AND ANKLE CENTER PC
Practice address
51 Sewall St Ste 2
Portland, ME 04102-2644
Phone
(207) 761-3889
Fax
(207) 761-1874
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Ryan Joseph Hiebert, DPMNPI 1275717050
Title
Owner/Doctor
Phone
(215) 990-7274

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 1

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

Addresses

Primary practice location

51 Sewall St Ste 2
Portland, ME 04102-2644

Mailing address

28 Wildlife LN
North Yarmouth, ME 04097-6359
Phone (215) 990-7274

Other practice location 1

443 Main St
Biddeford, ME 04005-2124
Phone (207) 761-3889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240806002250 ME Part B Supplier - Clinic/Group Practice 1759828957 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, ME; Biddeford, ME
O20250428000022 ME DME Supplier - Physician - Podiatry 1759828957 Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

443 Main St
Ste 2
Biddeford, ME 04005
Phone (207) 494-2570

22 W Cole Rd
Ste 102
Biddeford, ME 04005
Phone (207) 761-3889

Practitioners & affiliated clinicians

Practitioners 3

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": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1003663949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILDLIFE LN",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976359",
            "telephone_number": "215-990-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SEWALL ST STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022644",
            "telephone_number": "207-761-3889",
            "fax_number": "207-761-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Main St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052124",
            "country_code": "US",
            "telephone_number": "207-761-3889",
            "fax_number": "207-761-1874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEACOAST FOOT AND ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "HIEBERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "215-990-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.