Active NPI
Smitha Sara Joseph, DPM
- Foot & Ankle Surgery Podiatrist
- Greenville, SC
National Provider Identifier
1083880835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 585
- Practice address
- 11 Mills Ave
Greenville, SC 29605-4015 - Phone
- (864) 232-3668
- Fax
- (864) 271-0526
- NPI assigned
- May 1, 2008
- Last updated
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 585 | SC | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001065 | GA |
Addresses
Primary practice location
11 Mills Ave
Greenville, SC 29605-4015
Mailing address
11 Mills Ave
Greenville, SC 29605-4015
Phone (864) 232-3668
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 |
|---|---|---|---|
| POD001065 | GA | MD | Foot & Ankle Surgery Podiatrist |
| 585 | SC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1083880835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054015",
"telephone_number": "864-232-3668",
"fax_number": "864-271-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054015",
"telephone_number": "864-232-3668",
"fax_number": "864-271-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SMITHA",
"middle_name": "SARA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "SC",
"license": "585",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.