Upstate Foot and Ankle PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

UPSTATE FOOT AND ANKLE PA

Doing business as

Oak Tree Podiatry PA

Practice address

5 Winchester CT
Mauldin, SC 29662-2626

Phone

(607) 222-6633

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By 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

Nicholas Putrino, DPM

Title

Owner

Phone

(607) 222-6633

Specialties & licenses 1

Addresses

Other names 1

• Oak Tree Podiatry PA Doing business as

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1356001457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 LAGUNA DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137607217",
            "telephone_number": "607-222-6633"
        },
        {
            "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": "607-222-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "PUTRINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-222-6633",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Podiatry PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anne S Tuggle, M.D.
• Upstate Dental
• Upstate Pediatric Speech Therapy Services
• Upstate Vision Therapy Center Inc (Upstate Vision Therapy)
• Christa Van Zyl, OT
• Vanessa Vance-Logan
• Dustin Vanvolkenburgh, OTR/L

• Podiatrist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.