Organization Active NPI

Piedmont Podiatry Associates P a

  • Podiatrist
  • Greenville, SC
National Provider Identifier
1114943164
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP9955MedicaidSC
AA32286626OtherSCMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.