Active NPI
Oak Tree Podiatry, PA
- Foot Surgery Podiatrist
- Mauldin, SC
National Provider Identifier
1336564749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 631
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 631 | SC | |
| Foot Surgery Podiatrist | 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 DirectoryLocations
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.