Westside Podiatry Center, LLP

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N003729 Issued in NY

Legal business name

WESTSIDE PODIATRY CENTER, LLP

Practice address

5415 W Genesee St
Suite 203
Camillus, NY 13031-2162

Phone

(315) 701-3348

Fax

(315) 701-0949

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

James William Farrell, D.P.M.

Title

Owner Partner

Phone

(315) 857-0140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588718555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 WILLETT PKWY",
            "address_2": "SUITE 101",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271325",
            "telephone_number": "315-857-0140",
            "fax_number": "315-857-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W GENESEE ST",
            "address_2": "SUITE 203",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312162",
            "telephone_number": "315-701-3348",
            "fax_number": "315-701-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PODIATRY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "315-857-0140",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West ASC, LLC
• West Genesee Central School District
• Western Area Volunteer Emergency Service, Inc.
• Robert Elmer Westlake Jr., MD
• Westside Audiology Services,LLC
• Kathleen Ann Wheeler, PTA
• Cynthia Goodno Whiting, M.S.ED. / SLP
• Katelyn Witham, AUD
• Katherine E Wolfe-Lyga, MS, LMHC, ACS
• Lori A Woods, NP

• Foot Surgery Podiatrist in Camillus, NY
• Providers in Camillus, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.