Active NPI
Edwin M. Mow, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Milford, DE
National Provider Identifier
1053590802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1-0000109
- Practice address
- 505 Lakeview Ave
Milford, DE 19963-2917 - Phone
- (302) 424-1760
- NPI assigned
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1-0000109 | DE | Primary |
Addresses
Primary practice location
505 Lakeview Ave
Milford, DE 19963-2917
Mailing address
505 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 424-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1-0000109 | DE | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1053590802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199632917",
"telephone_number": "302-424-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199632917",
"telephone_number": "302-424-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOW",
"first_name": "EDWIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "DE",
"license": "E1-0000109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.