Active NPI
Scituate Podiatry Group Inc
- Podiatrist
- Scituate, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary W Count, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG5531 | Other | MA | RAILROAD MEDICARE |
| 9781331 | Medicaid | MA | |
| 0009377 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| Y77175 | Other | MA | BLUECROSS BLUESHEILD |
| 606371 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Scituate, MA
- NPI 1326142340
9638146277
National Provider Directory
National Provider Directory- Tax ID family
- Scituate Podiatry Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Scituate, MA
- NPI 1326142340
-
- Durable Medical Equipment & Medical Supplies
- Dorchester Center, MA
- NPI 1851495873
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.
-
- Podiatrist
- Scituate, MA
- NPI 1659373074
-
- Podiatrist
- Scituate, MA
- NPI 1003818436
-
- Podiatrist
- Scituate, MA
- NPI 1326043332
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.