Organization Active NPI

Family Foot Care Center PC

  • Podiatrist
  • Westminster, MA
National Provider Identifier
1083780258
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2063 Issued in MA
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

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Paula A Fontaine, DPMNPI 1780654004
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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
610926OtherMATUFTS HEALTH PLAN
AA21094OtherMAHARVARD PILGRIM HEALTH
9741381MedicaidMA
Y77347OtherMABLUE SHEILD OF MA
2196OtherMAFALLON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000917 MA Part B Supplier - Clinic/Group Practice 9830143700 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, MA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.