The Foot Doctor, P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005586 Issued in NY

Legal business name

THE FOOT DOCTOR, P.C.

Practice address

102 Genesee St
Avon, NY 14414-1222

Phone

(585) 226-9340

Fax

(585) 235-1051

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald S Gmerek, DPMNPI 1043319692

Title

Podiatrist/ Owner

Phone

(585) 226-9340

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Ronald Gmerek

  • Foot Surgery Podiatrist
  • Avon, NY
  • NPI 1043319692

  Foot Surgery, NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1346338290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE",
            "address_2": "SUITE 205",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203429",
            "telephone_number": "585-226-9340",
            "fax_number": "585-235-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GENESEE ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141222",
            "telephone_number": "585-226-9340",
            "fax_number": "585-235-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT DOCTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GMEREK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PODIATRIST/ OWNER",
        "authorized_official_telephone_number": "585-226-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FINGER LAKES",
            "identifier": "G0184705620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0184705620",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02146569",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00074369",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WESTERN NY",
            "identifier": "000924073002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie C. Schreiber, OPTICIAN
• Amanda Shaw, ATC
• Anna Elizabeth Shults, RN
• Sarah E Skawienski, DPT
• Garrett Stonewell, MSW
• Megan Welch, MSW
• Kellie West
• Christine Dayton White, O.D.
• Michelle Wing
• Bethany Zembiec-Wheeler, DDS

• All providers in Avon, NY
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.