Active NPI
Piedmont Podiatry Associates P a
- Podiatrist
- Greenville, SC
National Provider Identifier
1114943164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PIEDMONT PODIATRY ASSOCIATES P A
- Practice address
- 11 Mills Ave
Greenville, SC 29605-4015 - Phone
- (864) 232-3668
- Fax
- (864) 271-0526
- NPI assigned
- Jul 14, 2006
- Last updated
- Sep 27, 2010
- 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
- Dr. Sudobh Kumar Choudhary, DPM
- Title
- Owner President
- Phone
- (864) 232-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
11 Mills Ave
Greenville, SC 29605-4015
Mailing address
11 Mills Ave
C/O Subodh Choudhary
Greenville, SC 29605-4015
Phone (864) 232-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9955 | Medicaid | SC | |
| AA32286626 | Other | SC | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
11 Mills Ave
Greenville, SC 29605
Phone (864) 232-3668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285545600000",
"number": "1114943164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MILLS AVE",
"address_2": "C/O SUBODH CHOUDHARY",
"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": {
"organization_name": "PIEDMONT PODIATRY ASSOCIATES P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2010-09-27",
"status": "A",
"authorized_official_last_name": "CHOUDHARY",
"authorized_official_first_name": "SUDOBH",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "864-232-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"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": "GP9955",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA32286626",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Piedmont Arthritis Clinic PA
- Piedmont Comprehensive Pain Management Group LLC
- Piedmont Dental Center - Greenville, P.C.
- Piedmont Gastroneterology PA
- Piedmont Physical Medicine & Rehabilitation, P.a.
- Piedmont Psychiatric Service PA
- Piedmont Reproductive Endocrinology Group, PA
- Piedmont Retina Assoc., P.a.
- Piedmont Spine and Neurosurgical Group, P.a.
- Ashlyn Pieper, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.