Binghamton Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BINGHAMTON PODIATRY PC

Practice address

38 Front St
# 2B
Binghamton, NY 13905-4712

Phone

(607) 724-1263

Fax

(607) 724-1263

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Greg Wixsom, D.P.M.

Title

Sole Proprietor

Phone

(607) 724-1263

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1104837434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 FRONT ST",
            "address_2": "# 2B",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054712",
            "telephone_number": "607-724-1263",
            "fax_number": "607-724-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGHAMTON PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "WIXSOM",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "607-724-1263",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00577151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binghamton Ophthalmology Associates, P.C.
• Binghamton Optical Inc
• Binghamton Optical Inc
• Binghamton Physical Therapy, P.C.
• Binghamton Plastic Surgery, PLLC
• Binghamton Psychiatric Center
• Binghamton Psychiatric Center
• Binghamton University
• Binghamton University Health Services
• Kristen Binkewicz, MS OTR/L

• All providers in Binghamton, NY
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.