J. Kurt Concilla, D.P.M., PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

003073 Issued in NY

Legal business name

J. KURT CONCILLA, D.P.M., PLLC

Practice address

2926 W Lake Rd
Cazenovia, NY 13035-9818

Phone

(315) 200-6817

NPI assigned

Dec 31, 2012

Last updated

Dec 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Kurt Concilla, DPM

Title

Owner

Phone

(315) 200-6817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1518203108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 W LAKE RD",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359818",
            "telephone_number": "315-200-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KURT CONCILLA, D.P.M., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "CONCILLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-200-6817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Guerin
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• Stephanie Henry
• Michael E. Holdren, PH.D.
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• Jan Tewes,LCSW,PLLC
• Joseph Jennings Johnston, LCSW
• Cynthia B Jones, MD
• Sunny Jung, DMD
• Peter Bayard Kane, M.D.

• Podiatrist in Cazenovia, NY
• Providers in Cazenovia, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.