Organization Active NPI

Podiatry Services LTD

  • Foot Surgery Podiatrist
  • Pawtucket, RI
National Provider Identifier
1619167905
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DPM00246 Issued in RI
Legal business name
PODIATRY SERVICES LTD
Practice address
10 Summer St
Pawtucket, RI 02860-2107
Phone
(401) 726-1912
Fax
(401) 729-1688
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mark H Kuhar
Title
DPM
Phone
(401) 726-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X DPM00246 RI Primary

Addresses

Primary practice location

10 Summer St
Pawtucket, RI 02860-2107

Mailing address

10 Summer St
Pawtucket, RI 02860-2107
Phone (401) 726-1912

Other identifiers 2

IdentifierTypeStateIssuer
CM9879OtherRIPALMETTO GBA-RAILROAD MEDICARE
9007150MedicaidRI

National Provider Directory

National Provider Directory

Locations

10 Summer St
Pawtucket, RI 02860
Phone (401) 726-1912

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1619167905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUMMER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602107",
            "telephone_number": "401-726-1912",
            "fax_number": "401-729-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUMMER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602107",
            "telephone_number": "401-726-1912",
            "fax_number": "401-729-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KUHAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "401-726-1912"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "RI",
            "license": "DPM00246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "CM9879",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007150",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.