Organization Active NPI

Oak Tree Podiatry, PA

  • Foot Surgery Podiatrist
  • Mauldin, SC
National Provider Identifier
1336564749
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
631 Issued in SC
Legal business name
OAK TREE PODIATRY, PA
Practice address
5 Winchester CT
Mauldin, SC 29662-2626
Phone
(864) 934-8396
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Sara Borkosky, DPM
Title
Owner
Phone
(864) 934-8396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X 631 SC
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 631 SC Primary

Addresses

Primary practice location

5 Winchester CT
Mauldin, SC 29662-2626

Mailing address

5 Winchester CT
Mauldin, SC 29662-2626
Phone (864) 934-8396

National Provider Directory

National Provider Directory

Locations

5 Winchester Ct
Mauldin, SC 29662
Phone (864) 297-6616

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1336564749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WINCHESTER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622626",
            "telephone_number": "864-934-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WINCHESTER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622626",
            "telephone_number": "864-934-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "BORKOSKY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-934-8396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SC",
            "license": "631",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.