William M Dutch Jr., DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005690 Issued in NY

Practice address

6700 Kirkville Rd
Ste 202
East Syracuse, NY 13057-9305

Phone

(315) 701-2929

Fax

(315) 701-1473

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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.

• Cny Foot Surgery & Podiatry Care, PC

  • Foot Surgery Podiatrist
  • East Syracuse, NY
  • NPI 1063405850

  Foot Surgery, NY

  Medicare reassignment Care Compare group NPD Authorized official
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333

  NY

  Medicare reassignment Care Compare group NPD
• Oneida Medical Practice, PC

  • Multi-Specialty Clinic/Center
  • Oneida, NY
  • NPI 1932398997

  NY

  Medicare reassignment NPD
• Oneida Medical Practice, PC

  • Podiatrist
  • Oneida, NY
  • NPI 1356869838
  NPD
• St. Joseph'S Pathology, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Syracuse, NY
  • NPI 1235121575
  NPD
• St Joseph'S Hospital Health Center

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1699832436
  NPD (past)
• Syracuse Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Syracuse, NY
  • NPI 1669410379
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743

  Hospital

  Care Compare affiliation
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333

  Hospital

  Care Compare affiliation

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Hospital Health Center 107 clinicians

Cny Foot Surgery and Podiatry Care PC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
• Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2015.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1689666331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "SUITE C-202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-701-2929",
            "fax_number": "315-701-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "STE 202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-701-2929",
            "fax_number": "315-701-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCH",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Drescher, PA
• Cheryl Marie Dubar
• Jessica R Dudley, MS ED TOD
• Steven M Duffy, MD
• Tamara Michelle Dunham, M.S. SLP
• Michael D Duteau, RPH
• Jessica Lynn Earl, RPH
• East Area Volunteer Emergency Service Inc
• East Syracuse Minoa Central School District
• East Syracuse Minoa CSD

• All providers in East Syracuse, NY
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.