Elite Feet LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

POD2007 Issued in MA

Legal business name

ELITE FEET LLC

Practice address

680 Ashburnham Hill Rd
Fitchburg, MA 01420-1866

Phone

(978) 423-8907

Fax

(978) 343-3188

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William Coit Hubbard, DPMNPI 1902983117

Title

Owner

Phone

(978) 423-8907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Coit Hubbard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fitchburg, MA
  • NPI 1902983117
  Medicare reassignment NPD Authorized official
• Susan M Guenard, M.S., P.T.

  • Physical Therapist
  • Longmeadow, MA
  • NPI 1568787935
  NPD (past)
• Deborah Hubbard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fitchburg, MA
  • NPI 1710064928
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1588115372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2111",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014200013",
            "telephone_number": "978-423-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 ASHBURNHAM HILL RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201866",
            "telephone_number": "978-423-8907",
            "fax_number": "978-343-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-423-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "POD2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyric Eady
• Felicia Eckert
• Andrea Edwards, LICSW
• Eric Ekberg
• Mohamed E Elakshar
• Isadora Eller
• Jody Elliott
• Lisa Jane Ellis, RN
• Molly Erin Ellis
• Ghenwa Elmaola

• Foot Surgery Podiatrist in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Foot Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.