Dr Edgar H Nieter PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2132 Issued in FL

Legal business name

DR EDGAR H NIETER PA

Practice address

1661 E Atlantic Blvd
Pompano Beach, FL 33060-6750

Phone

(954) 941-1200

Fax

(954) 942-4005

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edgar H. Nieter, DPMNPI 1386668788

Title

President

Phone

(954) 941-1200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pompano Podiatry Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Edgar H Nieter Jr., DPM

  • Podiatrist
  • Pompano Beach, FL
  • NPI 1386668788
  Medicare reassignment NPD Authorized official
• David A Ehrlich, DPM

  • Podiatrist
  • Pompano Beach, FL
  • NPI 1265444038
  NPD
• Dean Bruce Dorfman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Deerfield Beach, FL
  • NPI 1326026865
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1598829475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606750",
            "telephone_number": "954-941-1200",
            "fax_number": "954-942-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606750",
            "telephone_number": "954-941-1200",
            "fax_number": "954-942-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDGAR H NIETER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "NIETER",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-941-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390191200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2016",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77441",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pompano Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.