Active NPI
Mark Hill, DPM
- Foot & Ankle Surgery Podiatrist
- North Syracuse, NY
National Provider Identifier
1548247802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006100
- Practice address
- 514 S Bay Rd
North Syracuse, NY 13212-3627 - Phone
- (315) 458-1777
- Fax
- (315) 458-9661
- NPI assigned
- Dec 28, 2005
- Last updated
- Feb 18, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006100 | NY | Primary |
Addresses
Primary practice location
514 S Bay Rd
North Syracuse, NY 13212-3627
Mailing address
514 S Bay Rd
North Syracuse, NY 13212-3627
Phone (315) 458-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02676144 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000309 | NY | Practitioner - Podiatry | 5890764476 | Practice locations: Syracuse, NY; Manlius, NY; Fayetteville, NY; Auburn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006100 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center, Inc. | Past | Accepting new patients | |
| Home Stretch Physical Therapy , P.C. | Past | Accepting new patients | |
| Ainsley S. Martin, Speech-Language Pathology, PLLC | Past | Accepting new patients | |
| Painted Post, LLC | Past | Accepting new patients | |
| Weston Paxxon PT, OT & SLP, PLLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba State of Mind Speech and Swallowing
- Speech-Language Pathologist
- Syracuse, NY
- NPI 1275159808
-
- Physical Therapist
- Syracuse, NY
- NPI 1326483785
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Occupational Therapist
- Queensbury, NY
- NPI 1205154861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1548247802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S BAY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123627",
"telephone_number": "315-458-1777",
"fax_number": "315-458-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S BAY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123627",
"telephone_number": "315-458-1777",
"fax_number": "315-458-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MARK",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02676144",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.