Adirondack Foot Clinic

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

005763 Issued in NY

Legal business name

ADIRONDACK FOOT CLINIC

Practice address

136 Broadway Ste 3
Saranac Lake, NY 12983-1404

Phone

(518) 891-9161

Fax

(518) 891-9187

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul C Tran, DPMNPI 1063519973

Title

Partner

Phone

(518) 891-9161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Paul Cu Tran, D.P.M.

  • Podiatrist
  • Saranac Lake, NY
  • NPI 1063519973
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Jo O'Connell, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Saranac Lake, NY
  • NPI 1669473435
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1043336191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129837239",
            "telephone_number": "518-891-9161",
            "fax_number": "518-891-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BROADWAY STE 3",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831404",
            "telephone_number": "518-891-9161",
            "fax_number": "518-891-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-891-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "005763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Abodeely, M.D.
• Adirondack Anesthesia Services, PC
• Adirondack Audiology Associates, PC
• Adirondack Community Counseling
• Adirondack Gastrointestinal and Colorectal Surgery PLLC
• Adirondack Internal Medicine & Pediatrics, PC
• Adirondack Leadership Expeditions
• Adirondack Medical Center
• Adirondack Medical Center

• Primary Podiatric Medicine Podiatrist in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.