Active NPI
Scituate Podiatry Group Inc
- Foot & Ankle Surgery Podiatrist
- Dorchester Center, MA
National Provider Identifier
1497731657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 001515
- Legal business name
- SCITUATE PODIATRY GROUP INC
- Practice address
- 2100 Dorchester Ave
Dorchester Center, MA 02124-5615 - Phone
- (617) 296-0742
- Fax
- (617) 296-4357
- NPI assigned
- Dec 20, 2005
- 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
- Dr. Gary W Count, DPM
- Title
- DPM/Owner
- Phone
- (781) 545-9285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 001515 | MA | Primary |
Addresses
Primary practice location
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Mailing address
PO Box 352
Scituate, MA 02066-0352
Phone (781) 545-9285
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9781331 | Medicaid | MA | |
| 606371 | Other | MA | TUFTS GROUP # |
| CH1562 | Other | MA | RAILROAD MEDICARE # |
| 3073090 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1497731657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 352",
"city": "SCITUATE",
"state": "MA",
"postal_code": "020660352",
"telephone_number": "781-545-9285",
"fax_number": "781-545-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-296-0742",
"fax_number": "617-296-4357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCITUATE PODIATRY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "COUNT",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DPM/OWNER",
"authorized_official_telephone_number": "781-545-9285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "001515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9781331",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP #",
"identifier": "606371",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "CH1562",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "3073090",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.