Organization Active NPI

Auburn Podiatry LLP

  • Podiatrist
  • Auburn, MA
National Provider Identifier
1104933209
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
AUBURN PODIATRY LLP
Practice address
48 Auburn St
Auburn, MA 01501-2438
Phone
(508) 832-6075
Fax
(508) 832-9964
NPI assigned
Aug 24, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Patricia M Sullivan, DPMNPI 1376501213
Title
Partner
Phone
(508) 832-6075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

48 Auburn St
Auburn, MA 01501-2438

Mailing address

48 Auburn St
Auburn, MA 01501-2438
Phone (508) 832-6075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000821 MA Part B Supplier - Clinic/Group Practice 4385601731 Receives reassigned benefits from 4 practitioners
Practice locations: Auburn, MA; Leominster, MA; Webster, MA

National Provider Directory

National Provider Directory

Locations

48 Auburn St
Auburn, MA 01501
Phone (508) 832-9392

492 Washington St
Auburn, MA 01501
Phone (508) 832-2171

492 Washington St
Ste 4
Auburn, MA 01501
Phone (774) 772-5161

166 Hamilton St
Leominster, MA 01453
Phone (978) 537-1157

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1104933209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012438",
            "telephone_number": "508-832-6075",
            "fax_number": "508-832-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012438",
            "telephone_number": "508-832-6075",
            "fax_number": "508-832-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PODIATRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-832-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.