Active NPI
Westside Podiatry Center, LLP
- Foot Surgery Podiatrist
- Skaneateles, NY
National Provider Identifier
1396899365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N003729
- Legal business name
- WESTSIDE PODIATRY CENTER, LLP
- Doing business as
- Skaneateles Foot and Ankle Center
- Practice address
- 27 Fennell St
Skaneateles, NY 13152-1158 - Phone
- (315) 685-3338
- Fax
- (315) 685-6391
- NPI assigned
- Jan 23, 2007
- 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
- James William Farrell, D.P.M.
- Title
- Partner Owner
- Phone
- (315) 857-0140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N003729 | NY | Primary |
Addresses
Primary practice location
27 Fennell St
Skaneateles, NY 13152-1158
Mailing address
8280 Willett Pkwy
Suite 101
Baldwinsville, NY 13027-1325
Phone (315) 857-0140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02554983 | Medicaid | NY |
Other names 1
- Skaneateles Foot and Ankle Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396899365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8280 WILLETT PKWY",
"address_2": "SUITE 101",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271325",
"telephone_number": "315-857-0140",
"fax_number": "315-857-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 FENNELL ST",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131521158",
"telephone_number": "315-685-3338",
"fax_number": "315-685-6391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE PODIATRY CENTER, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PARTNER OWNER",
"authorized_official_telephone_number": "315-857-0140",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N003729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02554983",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Skaneateles Foot and Ankle Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skaneateles, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.