Plymouth Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PLYMOUTH PODIATRY PC

Practice address

675 Paramount Dr Ste 204
Raynham, MA 02767-5416

Phone

(508) 936-3028

Fax

(508) 828-1268

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Michael J. Skonieczny, DPMNPI 1467736603

Title

Partner

Phone

(508) 747-1973

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Michael J. Skonieczny, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, MA
  • NPI 1467736603
  NPD Authorized official
• David Lee Coker, DPM

  • Podiatrist
  • Plymouth, MA
  • NPI 1619544350
  NPD
• Erik Henriksen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raynham, MA
  • NPI 1477905446
  NPD
• Sherree S Smith, DPM

  • Podiatrist
  • Plymouth, MA
  • NPI 1801848163
  NPD

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1487428769",
    "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",
            "fax_number": "508-747-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR STE 204",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-936-3028",
            "fax_number": "508-828-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SKONIECZNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "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": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy and Fitness Center of Raynham, Inc.
• Physicians Pain Management Center, Inc.
• Angelena Vanessa Piers
• Raven Pina
• Kara A Pitt, M.D.
• Kevin Mark Preston, LCSW
• Kayla Marie Purcell
• Franklin Gregory Quider Jr., DNP, RN, PMHNP-BC
• Rad Rheumatology and Autoimmune Disorders
• Abigail Eleanor Raymond

• Podiatrist in Raynham, MA
• Providers in Raynham, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.