NPIMap

Organization Active NPI

Plymouth Podiatry Bidco PC

  • Primary Podiatric Medicine Podiatrist
  • Plymouth, MA
National Provider Identifier
1437985074
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
PLYMOUTH PODIATRY BIDCO PC
Practice address
116 Court St Ste 3
Plymouth, MA 02360-8710
Phone
(508) 747-1973
Fax
(508) 747-5392
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Michael Skonieczny, DPMNPI 1467736603
Title
Partner
Phone
(508) 747-1973

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

116 Court St Ste 3
Plymouth, MA 02360-8710

Mailing address

116 Court St Ste 3
Plymouth, MA 02360-8710
Phone (508) 747-1973

Other practice location 1

675 Paramount Dr Ste 204
Raynham, MA 02767-5416
Phone (508) 936-3028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801001794 MA Part B Supplier - Clinic/Group Practice 3678081627 Receives reassigned benefits from 4 practitioners
Practice locations: Plymouth, MA; Raynham, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1437985074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973",
            "fax_number": "508-747-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Paramount Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675416",
            "country_code": "US",
            "telephone_number": "508-936-3028",
            "fax_number": "508-828-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLYMOUTH PODIATRY BIDCO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "SKONIECZNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-747-1973",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.