South County Podiatry Associates, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTH COUNTY PODIATRY ASSOCIATES, INC.

Practice address

70 Kenyon Ave
Suite 212
Wakefield, RI 02879-4239

Phone

(401) 789-8912

Fax

(401) 782-8702

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Charles Zervos, DPM

Title

Partner

Phone

(401) 789-8912

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1225042591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 212",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-8912",
            "fax_number": "401-782-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 212",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-8912",
            "fax_number": "401-782-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY PODIATRY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ZERVOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "401-789-8912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9082009",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South County Hospital Healthcare System
• South County Hospital Healthcare System
• South County Internal Medicine, Inc.
• South County Orthopedics & Physical Therapy, Inc.
• South County Pediatric Group, Inc.
• South County Radiation Therapy, LLC
• South County Therapy LLC
• South Kingstown School Department
• South Kingstown School Department
• South Road Group Home

• Podiatrist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.