Active NPI
Seacoast Foot Surgery Assoc
- Podiatrist
- Portsmouth, NH
National Provider Identifier
1174600217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0183
- Legal business name
- SEACOAST FOOT SURGERY ASSOC
- Practice address
- 330 Borthwick Avenue
Suite 112
Portsmouth, NH 03801 - Phone
- (603) 430-8505
- Fax
- (603) 436-8381
- NPI assigned
- Nov 1, 2006
- 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
- Roxanne Raeside Wilton, CAPPM EFPM CPODCS
- Title
- Practice Administrator
- Phone
- (603) 430-8505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0183 | NH | Primary |
| Podiatrist | 213E00000X | POD212 | ME |
Addresses
Primary practice location
330 Borthwick Avenue
Suite 112
Portsmouth, NH 03801
Mailing address
330 Borthwick Avenue
Suite 112
Portsmouth, NH 03801
Phone (603) 430-8505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40368267 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
330 Borthwick Ave
Ste 112
Portsmouth, NH 03801
Phone (603) 430-8505
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.
-
- Surgery Physician
- Kittery, ME
- NPI 1033211792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1174600217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVENUE",
"address_2": "SUITE 112",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-430-8505",
"fax_number": "603-436-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVENUE",
"address_2": "SUITE 112",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-430-8505",
"fax_number": "603-436-8381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEACOAST FOOT SURGERY ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "RAESIDE WILTON",
"authorized_official_first_name": "ROXANNE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "603-430-8505",
"authorized_official_credential": "CAPPM EFPM CPODCS"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NH",
"license": "0183",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "ME",
"license": "POD212",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40368267",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
- Caroline N Scoones, MD
- Ashley Ruth Scott
- Christopher Paul Scott, IDHS
- Seacoast Area Physiatry, PC
- Seacoast Dermatology PLLC
- Seacoast Hearing Center
- Seacoast Interventional Radiology Associates PLLC
- Seacoast Kidney & Hypertension Specialists, P.L.L.C.
- Seacoast Medical Group LLC
- Seacoast Mental Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.