NPIMap

Organization Active NPI

North Shore Podiarty Associates, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Peabody, MA
National Provider Identifier
1285856435
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1497 Issued in MA
Legal business name
NORTH SHORE PODIARTY ASSOCIATES, INC.
Practice address
205 Andover Street
Peabody, MA 01960-1603
Phone
(978) 531-4484
Fax
(978) 531-0289
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Eliot G Sherr, DPMNPI 1316969546
Title
Ceo
Phone
(978) 531-4484

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1497 MA Primary

Addresses

Primary practice location

205 Andover Street
Peabody, MA 01960-1603

Mailing address

205 Andover St
Route 114
Peabody, MA 01960-1603
Phone (978) 531-4484

Other identifiers 6

IdentifierTypeStateIssuer
33525OtherMAHARVARD PILGRIM
3893662-001OtherMACIGNA
329545OtherMAUNITED HEALTHCARE
00023184OtherMANEIGHBORHOOD HEALTHCARE
Y70620OtherMABCBS
795250OtherMATUFTS

Other names 1

  • Foot Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

205 Andover St
Peabody, MA 01960
Phone (978) 531-4484

205 Andover St
#114
Peabody, MA 01960
Phone (978) 531-4484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1285856435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ANDOVER ST",
            "address_2": "ROUTE 114",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601603",
            "telephone_number": "978-531-4484",
            "fax_number": "978-531-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ANDOVER STREET",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601603",
            "telephone_number": "978-531-4484",
            "fax_number": "978-531-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PODIARTY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "SHERR",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-531-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "33525",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3893662-001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "329545",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTHCARE",
            "identifier": "00023184",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y70620",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "795250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.