Organization Active NPI

Russell J Barone DPM PA

Doing business as Hendersonville Podiatry

  • Foot Surgery Podiatrist
  • Hendersonville, NC
National Provider Identifier
1255449534
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
RUSSELL J BARONE DPM PA
Doing business as
Hendersonville Podiatry
Practice address
600 5TH Ave W
Hendersonville, NC 28739-4263
Phone
(828) 697-1343
NPI assigned
Aug 28, 2006
Last updated
Nov 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Authorized official

Name
Pamela Barone Stover, DPMNPI 1134367394
Title
President
Phone
(828) 697-1343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

600 5TH Ave W
Hendersonville, NC 28739-4263

Mailing address

600 5TH Ave W
Hendersonville, NC 28739-4263
Phone (828) 697-1343

Other identifiers 2

IdentifierTypeStateIssuer
08009OtherNCBCBS OF N CAROLINA
8908009MedicaidNC

Other names 1

  • Hendersonville Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100209000328 NC Part B Supplier - Clinic/Group Practice 5597808865 Receives reassigned benefits from 3 practitioners
Practice locations: Hendersonville, NC
O20100930071385 NC DME Supplier - Physician - Podiatry 5597808865 Practice locations: Hendersonville, NC

National Provider Directory

National Provider Directory

Locations

600 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-3653

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fe81710a-637d-4db2-97ce-b53c4afe449d/

Practitioners & affiliated clinicians

Practitioners 3

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699142400000",
    "number": "1255449534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394263",
            "telephone_number": "828-697-1343",
            "fax_number": "828-697-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394263",
            "telephone_number": "828-697-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J BARONE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "BARONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-697-1343",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF N CAROLINA",
            "identifier": "08009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendersonville Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hendersonville Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.