NPIMap

Organization Active NPI

North Shore Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peabody, MA
National Provider Identifier
1700104296
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1497 Issued in MA
Legal business name
NORTH SHORE FOOT & ANKLE, LLC
Practice address
205 Andover Street
Peabody, MA 01960-1603
Phone
(978) 531-4484
Fax
(866) 214-2666
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Eliot G Sherr, DPM
Title
Ceo
Phone
(978) 531-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1497 MA Primary

Addresses

Primary practice location

205 Andover Street
Peabody, MA 01960-1603

Mailing address

205 Andover St
Route 114
Peabody, MA 01960-1603
Phone (978) 531-4484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1700104296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ANDOVER ST",
            "address_2": "ROUTE 114",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601603",
            "telephone_number": "978-531-4484",
            "fax_number": "866-214-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ANDOVER STREET",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601603",
            "telephone_number": "978-531-4484",
            "fax_number": "866-214-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SHERR",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-531-4484",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.