The Foot Doctor

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0005095 Issued in NY

Legal business name

THE FOOT DOCTOR

Practice address

85 S Union St
Spencerport, NY 14559-1255

Phone

(585) 721-3668

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Teibel, DPMNPI 1356398226

Title

Owner

Phone

(585) 721-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jeffrey Teibel, DPM

  • Podiatrist
  • Spencerport, NY
  • NPI 1356398226
  NPD (past) Authorized official
• Joseph Yeo

  • Podiatrist
  • Spencerport, NY
  • NPI 1881218055
  NPD (past)
• Jascha Oscar Teibel, DPM

  • Podiatrist
  • Waukegan, IL
  • NPI 1477173524
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710933155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591255",
            "telephone_number": "585-721-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEIBEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-721-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0005095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Streicher, M.A. CCC-SLP/L
• Barbara Morse Swanson, RN, MSN, FNP
• Julie Katherine Swanson, REGISTERED NURSE
• Jeffrey Teibel, DPM
• Teodoro Mariano Jr MD PC
• The Unity Hospital of Rochester
• Karen Herman Thompson, LMT
• Karen Marie Titus
• Elena Lisa Torres, LPN
• Melissa Trau, R.N, B.S

• Podiatrist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.