NPIMap

Organization Active NPI

Podiatric Management Systems LLC

Doing business as Hyde Park Foot and Ankle

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1174126239
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRIC MANAGEMENT SYSTEMS LLC
Doing business as
Hyde Park Foot and Ankle
Practice address
1525 E 53Rd St Ste 918
Chicago, IL 60615-4530
Phone
(773) 643-8400
Fax
(773) 643-8744
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
David Anthony Charnota, DPMNPI 1205848975
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1525 E 53Rd St Ste 918
Chicago, IL 60615-4530

Mailing address

70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160

Other names 1

  • Hyde Park Foot and Ankle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel J Walters DPM5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1174126239",
    "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": "1525 E 53RD ST STE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154530",
            "telephone_number": "773-643-8400",
            "fax_number": "773-643-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "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": "Hyde Park Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.