Organization Active NPI

Scituate Podiatry Group Inc

  • Podiatrist
  • Scituate, MA
National Provider Identifier
1629052535
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SCITUATE PODIATRY GROUP INC
Practice address
10 New Driftway Rd
Suite 103
Scituate, MA 02066
Phone
(781) 545-9285
Fax
(781) 545-9553
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Gary W Count, DPMNPI 1326043332
Title
Podiatrist/Owner
Phone
(781) 545-9285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10 New Driftway Rd
Suite 103
Scituate, MA 02066

Mailing address

PO Box 352
Scituate, MA 02066-0352
Phone (781) 545-9285

Other identifiers 5

IdentifierTypeStateIssuer
CG5531OtherMARAILROAD MEDICARE
9781331MedicaidMA
0009377OtherMANEIGHBORHOOD HEALTH PLAN
Y77175OtherMABLUECROSS BLUESHEILD
606371OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000396 MA Part B Supplier - Clinic/Group Practice 9638146277 Receives reassigned benefits from 2 practitioners
Practice locations: Scituate, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Scituate Podiatry Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1629052535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020660352",
            "telephone_number": "781-545-9285",
            "fax_number": "781-545-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY RD",
            "address_2": "SUITE 103",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "02066",
            "telephone_number": "781-545-9285",
            "fax_number": "781-545-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCITUATE PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "COUNT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "781-545-9285",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG5531",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781331",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0009377",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "Y77175",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "606371",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.