Peabody Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PEABODY PODIATRY LLC

Practice address

6 Essex Center Dr Ste 208
Peabody, MA 01960-2906

Phone

(978) 531-9969

Fax

(978) 531-3745

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Mary Julie Peicott

Title

Credentialing Manager

Phone

(978) 531-9969

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Paul S Peicott, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peabody, MA
  • NPI 1821104241
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1043872286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR STE 208",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602906",
            "telephone_number": "978-531-9969",
            "fax_number": "978-531-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR STE 208",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602906",
            "telephone_number": "978-531-9969",
            "fax_number": "978-531-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PEICOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "978-531-9969"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PEABODY",
            "affiliation": "Y",
            "affiliationName": "Peabody Podiatry LLC",
            "address_1": "6 Essex Center Dr",
            "address_2": "Suite 208",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019602910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peabody Dental Specialties PLLC
• Peabody Family Chiropractic, Inc.
• Peabody Family Dental PLLC
• Peabody Management Systems Inc
• Peabody OBGYN, LLC
• Peabody Podiatry LLC
• Peabody Podiatry LLC
• Peabody Smile Design Family Dentistry PLLC
• Peabody Surgery Center, LLC.
• Pediatric Health Care Associates PC

• Podiatrist in Peabody, MA
• Providers in Peabody, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.