Active NPI
George Salem Jr., D.P.M.
- Podiatrist
- West Springfield, MA
National Provider Identifier
1144308677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1824
- Practice address
- 1380 Elm St
West Springfield, MA 01089-1809 - Phone
- (413) 737-2360
- Fax
- (413) 737-1718
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1824 | MA | Primary |
Addresses
Primary practice location
1380 Elm St
West Springfield, MA 01089-1809
Mailing address
1380 Elm St
West Springfield, MA 01089-1809
Phone (413) 737-2360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361879 | Medicaid | MA | |
| 5019518 | Other | MA | TRICARE/CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1824 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144308677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 ELM ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891809",
"telephone_number": "413-737-2360",
"fax_number": "413-737-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 ELM ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891809",
"telephone_number": "413-737-2360",
"fax_number": "413-737-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361879",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "5019518",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.