Active NPI
Ronald V Futerman, DPM
- Primary Podiatric Medicine Podiatrist
- Matthews, NC
National Provider Identifier
1528011376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 204
- Practice address
- 428 N Trade St
Ste 100
Matthews, NC 28105-1729 - Phone
- (704) 841-4000
- Fax
- (704) 841-4338
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 204 | NC | |
| Single Specialty Group | 193400000X | 204 | NC | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 204 | NC | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 204 | NC |
Addresses
Primary practice location
428 N Trade St
Ste 100
Matthews, NC 28105-1729
Mailing address
PO Box 1539
Matthews, NC 28106-1539
Phone (704) 841-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0822M | Other | NC | BCBS NC |
| 890822M | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1528011376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1539",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281061539",
"telephone_number": "704-841-4000",
"fax_number": "704-841-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 N TRADE ST",
"address_2": "STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051729",
"telephone_number": "704-841-4000",
"fax_number": "704-841-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTERMAN",
"first_name": "RONALD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "204",
"primary": false
},
{
"code": "193400000X",
"taxonomy_group": "",
"desc": "Single Specialty",
"state": "NC",
"license": "204",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "204",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "204",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "0822M",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890822M",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.