Organization Active NPI

Westside Podiatry Center, LLP

  • Foot Surgery Podiatrist
  • Skaneateles, NY
National Provider Identifier
1396899365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003729 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02554983MedicaidNY

Other names 1

  • Skaneateles Foot and Ankle Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.