Individual provider Active NPI

Weston Goring, DPM

  • Podiatrist
  • Canton, NY
National Provider Identifier
1689027674
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007095 Issued in NY
Practice address
39 West Main Street
Canton, NY 13617
Phone
(315) 379-4700
Fax
(315) 713-6512
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 11148856-0501 UT
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 007095 NY Primary

Addresses

Primary practice location

39 West Main Street
Canton, NY 13617

Mailing address

39 West Main Street
Canton, NY 13617
Phone (315) 379-4700

Other identifiers 1

IdentifierTypeStateIssuer
06632342MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002234 NY Practitioner - Podiatry 5193129617 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11148856-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc Current Accepting new patients
Foot Forward Podiatry PC Podiatrist CurrentSince Jan 1, 2022 Accepting new patients
North Country Orthopaedic Group PC CurrentSince Jan 17, 2023 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Claxton-Hepburn Medical Center PastSince Jan 17, 2023 Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

15 Canal Rd
Pelham, NY 10803
Phone (646) 362-4601

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

1571 Washington St
Ste 201
Watertown, NY 13601
Phone (315) 782-1650

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1689027674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WEST MAIN STREET",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-379-4700",
            "fax_number": "315-713-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEST MAIN STREET",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-379-4700",
            "fax_number": "315-713-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORING",
        "first_name": "WESTON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "11148856-0501",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06632342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.