NPIMap

Organization Active NPI

Stamford Podiatry Group PC

  • Prosthetic/Orthotic Supplier
  • Stamford, CT
National Provider Identifier
1376967273
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STAMFORD PODIATRY GROUP PC
Practice address
1234 Summer St
Suite 202
Stamford, CT 06905-5558
Phone
(203) 323-1171
Fax
(203) 323-4649
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Kathy T Giordano
Title
Manager
Phone
(203) 323-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1234 Summer St
Suite 202
Stamford, CT 06905-5558

Mailing address

1234 Summer St
Suite 202
Stamford, CT 06905-5558
Phone (203) 323-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403000891 CT DME Supplier - Physician - Podiatry 8022916394 Practice locations: Stamford, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1376967273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SUMMER ST",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055558",
            "telephone_number": "203-323-1171",
            "fax_number": "203-323-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SUMMER ST",
            "address_2": "SUITE 202",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055558",
            "telephone_number": "203-323-1171",
            "fax_number": "203-323-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-323-1171"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.