Active NPI
Saint Croix Podiatry LLC
- Foot & Ankle Surgery Podiatrist
- Christiansted, VI
National Provider Identifier
1689453722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- SAINT CROIX PODIATRY LLC
- Practice address
- 4000 Beeston Hill Medical Ctr Ste 9
Christiansted, VI 00820-5254 - Phone
- (540) 498-7301
- NPI assigned
- Sep 27, 2023
- 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
- John W Cook, DPM
- Title
- Owner
- Phone
- (340) 718-0030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
4000 Beeston Hill Medical Ctr Ste 9
Christiansted, VI 00820-5254
Mailing address
4000 Beeston Hill Medical Ctr Ste 9
Christiansted, VI 00820-5254
Phone (340) 718-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4000 Beeston Hill Medical Ctr
Ste 9
Christiansted, VI 00820
Phone (340) 718-0030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Christiansted, VI
- NPI 1619966579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1689453722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 BEESTON HILL MEDICAL CTR STE 9",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008205254",
"telephone_number": "340-718-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 BEESTON HILL MEDICAL CTR STE 9",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008205254",
"telephone_number": "540-498-7301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT CROIX PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2024-01-09",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "340-718-0030",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansted, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.