Individual provider Active NPI

Mark Hill, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Syracuse, NY
National Provider Identifier
1548247802
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006100 Issued in NY
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02676144MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
N006100NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.