Podiatric Management Systems LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PODIATRIC MANAGEMENT SYSTEMS LLC

Doing business as

Professional Foot and Ankle

Practice address

19900 Governors Dr Ste 12
Olympia Fields, IL 60461-1059

Phone

(708) 898-2380

Fax

(708) 898-2326

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

David Anthony Charnota, DPM

Title

President

Phone

(847) 540-9949

Specialties & licenses 1

Addresses

Other names 1

• Professional Foot and Ankle Doing business as

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1710591128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017499",
            "telephone_number": "312-372-1160",
            "fax_number": "312-372-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 12",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-898-2380",
            "fax_number": "708-898-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "CHARNOTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-540-9949",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Maura Pipolo, M.S., CCC-SLP
• Martha Elaine Plasencia, MD
• Dimitri Plikas, DO
• Nellie N Plummer, O.D.
• Gary Plundo, D.O.
• Kiana Chanell Porter
• Sanjeev Kumar Pradhan, M.D.
• Prairie State Pulmonary & Sleep Consultants, LLC
• Prime Healthcare Home Health Care Illinois, LLC
• Samuel Adam Prissel, DO

• Podiatrist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.