Organization Active NPI

Finger Lakes Podiatry, PC

  • Podiatrist
  • Lakeville, NY
National Provider Identifier
1689747388
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004293-1 Issued in NY
Legal business name
FINGER LAKES PODIATRY, PC
Practice address
6003 Big Tree Rd
Lakeville, NY 14480-9720
Phone
(585) 346-2410
Fax
(585) 346-0081
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Mark C Durkin, D.P.M.NPI 1053320499
Title
Owner
Phone
(585) 346-2410

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004293-1 NY Primary

Addresses

Primary practice location

6003 Big Tree Rd
Lakeville, NY 14480-9720

Mailing address

6003 Big Tree Rd
Lakeville, NY 14480-9720
Phone (585) 346-2410

Other identifiers 1

IdentifierTypeStateIssuer
01080166MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080729000267 NY Part B Supplier - Clinic/Group Practice 1759455520 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1689747388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 BIG TREE RD",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809720",
            "telephone_number": "585-346-2410",
            "fax_number": "585-346-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 BIG TREE RD",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809720",
            "telephone_number": "585-346-2410",
            "fax_number": "585-346-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-346-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004293-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.

Verify at the official NPI Registry.