NPIMap

Organization Active NPI

Dr. Essam Khedr, DPM, LLC

  • Foot Surgery Podiatrist
  • Athol, MA
National Provider Identifier
1376834515
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2353 Issued in MA
Legal business name
DR. ESSAM KHEDR, DPM, LLC
Practice address
80 Mechanic St
Athol, MA 01331-3559
Phone
(978) 249-1295
Fax
(978) 249-5669
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Essam Khedr, DPMNPI 1457686487
Title
Podiatry Physician
Phone
(978) 249-1295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2353 MA Primary

Addresses

Primary practice location

80 Mechanic St
Athol, MA 01331-3559

Mailing address

80 Mechanic St
Athol, MA 01331-3559
Phone (978) 249-1295

National Provider Directory

National Provider Directory

Locations

80 Mechanic St
Ste 2
Athol, MA 01331
Phone (978) 249-1295

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1376834515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MECHANIC ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313559",
            "telephone_number": "978-249-1295",
            "fax_number": "978-249-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MECHANIC ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313559",
            "telephone_number": "978-249-1295",
            "fax_number": "978-249-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ESSAM KHEDR, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KHEDR",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "PODIATRY PHYSICIAN",
        "authorized_official_telephone_number": "978-249-1295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.