Sandy River Podiatry, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD1034 Issued in ME

Legal business name

SANDY RIVER PODIATRY, PA

Practice address

114 Perham St
Farmington, ME 04938-1520

Phone

(207) 779-1002

Fax

(207) 779-1091

NPI assigned

Apr 23, 2007

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Johnson, DPM

Title

Owner

Phone

(207) 779-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Sharmila Das-Wattley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Farmington, ME
  • NPI 1164420907
  NPD (past)
• Bert E Mason, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lincoln, ME
  • NPI 1225051519
  NPD (past)
• Thomas Christopher Franchini, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1588674592
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1336367416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PERHAM ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381520",
            "telephone_number": "207-779-1002",
            "fax_number": "207-779-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PERHAM ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381520",
            "telephone_number": "207-779-1002",
            "fax_number": "207-779-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY RIVER PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-779-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134880000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugenia Grace Ruther, BCBA
• Malin A. Sadler, M.D.
• Ronald L Sagalowsky, M.D.
• Martha H Sampson, PT
• Kristine Sanden, D.O.
• Timothy E Saulter, DC
• Danielle Savage, CADC
• Richard Scott Schafer, MD
• Schumacher Pediatric Medicine, P.C. (Fiddlehead Pediatric Healthcare)
• Schumacher Pediatric Medicine, PC

• Podiatrist in Farmington, ME
• Providers in Farmington, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.