Active NPI
Podiatry Associates of Hilton Head PA
- Podiatrist
- Hilton Head Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 71
- Legal business name
- PODIATRY ASSOCIATES OF HILTON HEAD PA
- Practice address
- 88 D Main Street
Hilton Head Island, SC 29926 - Phone
- (843) 689-3338
- NPI assigned
- Jan 5, 2012
- Last updated
- Jan 19, 2012
- 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
- Frank F Kostylo
- Title
- DPM
- Phone
- (843) 689-3338
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 71 | SC | Primary |
Addresses
Primary practice location
88 D Main Street
Hilton Head Island, SC 29926
Mailing address
88 D Main Street
Hilton Head Island, SC 29926
Phone (843) 689-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9969 | Medicaid | SC |
Other names 1
- PODIATRY ASSOCIATES OF HILTON HEAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
88 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 338-4411
92 Main St
Ste E
Hilton Head Island, SC 29926
Phone (843) 689-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Hilton Head Island, SC
- NPI 1831124874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1508136698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 D MAIN STREET",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "29926",
"telephone_number": "843-689-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 D MAIN STREET",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "29926",
"telephone_number": "843-689-3338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY ASSOCIATES OF HILTON HEAD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "KOSTYLO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "843-689-3338"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "71",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP9969",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PODIATRY ASSOCIATES OF HILTON HEAD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.