Active NPI
Family Foot Care Center PC
- Podiatrist
- Westminster, MA
National Provider Identifier
1083780258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2063
- Legal business name
- FAMILY FOOT CARE CENTER PC
- Practice address
- 32 State Road East
Westminster, MA 01473 - Phone
- (978) 874-1300
- Fax
- (978) 874-6244
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula A Fontaine, DPM
- Title
- President
- Phone
- (978) 874-1300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2063 | MA | Primary |
Addresses
Primary practice location
32 State Road East
Westminster, MA 01473
Mailing address
32 State Road East
Westminster, MA 01473
Phone (978) 874-1300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610926 | Other | MA | TUFTS HEALTH PLAN |
| AA21094 | Other | MA | HARVARD PILGRIM HEALTH |
| 9741381 | Medicaid | MA | |
| Y77347 | Other | MA | BLUE SHEILD OF MA |
| 2196 | Other | MA | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
500 W Boylston St
Worcester, MA 01606
Phone (508) 852-4120
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Westminster, MA
- NPI 1780654004
-
- Podiatrist
- Westminster, MA
- NPI 1588639116
-
- Nurse Practitioner
- West Springfield, MA
- NPI 1619048550
-
- Foot Surgery Podiatrist
- Norwalk, CT
- NPI 1669421665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1083780258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 STATE ROAD EAST",
"city": "WESTMINSTER",
"state": "MA",
"postal_code": "01473",
"telephone_number": "978-874-1300",
"fax_number": "978-874-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 STATE ROAD EAST",
"city": "WESTMINSTER",
"state": "MA",
"postal_code": "01473",
"telephone_number": "978-874-1300",
"fax_number": "978-874-6244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOOT CARE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "FONTAINE",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-874-1300",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MA",
"license": "2063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "610926",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA21094",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9741381",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD OF MA",
"identifier": "Y77347",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "2196",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.