Organization Active NPI

Nanticoke Podiatry PA

  • Podiatrist
  • Seaford, DE
National Provider Identifier
1649381666
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E10000077 Issued in DE
Legal business name
NANTICOKE PODIATRY PA
Practice address
8857 Riverside Dr
Seaford, DE 19973-3654
Phone
(302) 628-7880
Fax
(302) 628-3791
NPI assigned
Aug 31, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
James F PalmerNPI 1740391747
Title
Owner Physician
Phone
(302) 628-7880

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
Podiatrist 213E00000X E10000077 DE Primary

Addresses

Primary practice location

8857 Riverside Dr
Seaford, DE 19973-3654

Mailing address

8857 Riverside Dr
Seaford, DE 19973-3654
Phone (302) 628-7880

Other identifiers 1

IdentifierTypeStateIssuer
0000095817MedicaidDE

National Provider Directory

National Provider Directory

Locations

32030 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-8881

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1649381666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 RIVERSIDE DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733654",
            "telephone_number": "302-628-7880",
            "fax_number": "302-628-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 RIVERSIDE DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733654",
            "telephone_number": "302-628-7880",
            "fax_number": "302-628-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTICOKE PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "302-628-7880"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E10000077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000095817",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.