NPIMap

Organization Active NPI

Prairie Path Podiatry, P.C.

  • Podiatric Clinic/Center
  • Geneva, IL
National Provider Identifier
1639455470
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016004771 Issued in IL
Legal business name
PRAIRIE PATH PODIATRY, P.C.
Practice address
4 S 6TH St
Geneva, IL 60134-2163
Phone
(630) 845-3338
Fax
(630) 845-0557
NPI assigned
Oct 25, 2011
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Peter C. Tsang, DPMNPI 1780727586
Title
President
Phone
(630) 845-3338

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
Podiatric Clinic/Center 261QP1100X 016004771 IL Primary

Addresses

Primary practice location

4 S 6TH St
Geneva, IL 60134-2163

Mailing address

4 S 6TH St
Geneva, IL 60134-2163
Phone (630) 845-3338

National Provider Directory

National Provider Directory

Locations

4 S 6th St
Geneva, IL 60134
Phone (630) 845-3338

Practitioners & affiliated clinicians

Practitioners 1

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1639455470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S 6TH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342163",
            "telephone_number": "630-845-3338",
            "fax_number": "630-845-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S 6TH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342163",
            "telephone_number": "630-845-3338",
            "fax_number": "630-845-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE PATH PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "TSANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-845-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.