Active NPI
Podiatric Management Systems LLC
Doing business as Bridgeport Footcare
- Podiatrist
- Chicago, IL
National Provider Identifier
1114533700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PODIATRIC MANAGEMENT SYSTEMS LLC
- Doing business as
- Bridgeport Footcare
- Practice address
- 537 W 31St St
Chicago, IL 60616-3294 - Phone
- (312) 842-2230
- Fax
- (312) 842-9737
- NPI assigned
- Sep 18, 2020
- Last updated
- Sep 18, 2020
- 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
- David Anthony Charnota, DPM
- Title
- President
- Phone
- (847) 540-9949
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
537 W 31St St
Chicago, IL 60616-3294
Mailing address
70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160
Other names 1
- Bridgeport Footcare
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Lake Zurich, IL
- NPI 1205848975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1114533700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E LAKE ST STE 1102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017499",
"telephone_number": "312-372-1160",
"fax_number": "312-372-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W 31ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163294",
"telephone_number": "312-842-2230",
"fax_number": "312-842-9737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "CHARNOTA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-540-9949",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridgeport Footcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Elizabeth Stella Podczerwinski, M.D.
- Aastha Poddar
- Shreya Podder, MD
- Jaime Podgorny, MA, LPC
- Podiatric Management Systems LLC (Professional Foot Care Specialists)
- Podiatric Management Systems LLC (Hyde Park Foot and Ankle)
- Podiatric Management Systems LLC (Kondiles Chicagoland Foot Care)
- Podiatric Management Systems LLC (Daniel J Walters DPM)
- Podiatric Wound Care Chicago LLC
- Podiatry Center, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.