Active NPI
North Smithfield Podiatry Inc
- Podiatrist
- North Smithfield, RI
National Provider Identifier
1780748806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM
- Legal business name
- NORTH SMITHFIELD PODIATRY INC
- Practice address
- 249 Eddie Dowling Highway
North Smithfield, RI 02896 - Phone
- (401) 769-5611
- Fax
- (401) 769-6238
- NPI assigned
- Dec 21, 2006
- Last updated
- Jun 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James C Sullivan, DPM
- Title
- Podiatrist Owner
- Phone
- (401) 769-5611
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM | RI | Primary |
Addresses
Primary practice location
249 Eddie Dowling Highway
North Smithfield, RI 02896
Mailing address
249 Eddie Dowling Highway
North Smithfield, RI 02896
Phone (401) 769-5611
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000262 | Other | TUFTS | |
| 1506 | Other | NEIGHBORHOOD | |
| 33235 | Other | HARVARD | |
| 480021635 | Other | RAILROAD MED | |
| 004962 | Other | BLUE CHIP | |
| 0005952117 | Other | AETNA | |
| 000917250002 | Other | AARP MED | |
| 9007057 | Medicaid | RI | |
| 2700284 | Other | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 269-5611
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- North Smithfield, RI
- NPI 1740296086
-
- Foot & Ankle Surgery Podiatrist
- Woonsocket, RI
- NPI 1083046833
-
- Podiatrist
- Cumberland, RI
- NPI 1194013177
-
- Foot & Ankle Surgery Podiatrist
- North Smithfield, RI
- NPI 1972780583
-
- Sports Medicine Podiatrist
- Highland Park, IL
- NPI 1871507533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308614400000",
"number": "1780748806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 EDDIE DOWLING HIGHWAY",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "02896",
"telephone_number": "401-769-5611",
"fax_number": "401-769-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 EDDIE DOWLING HIGHWAY",
"city": "NORTH SMITHFIELD",
"state": "RI",
"postal_code": "02896",
"telephone_number": "401-769-5611",
"fax_number": "401-769-6238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SMITHFIELD PODIATRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2011-06-21",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PODIATRIST OWNER",
"authorized_official_telephone_number": "401-769-5611",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "000262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "1506",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "33235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MED",
"identifier": "480021635",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "004962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005952117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP MED",
"identifier": "000917250002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9007057",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2700284",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in North Smithfield, RI
- Stephen F Nestor, D.P.T.
- New England Premier Healthcare LTD
- New England Pulmonary Medicine Inc
- North Smithfield Fire/Rescue Service, Inc
- North Smithfield Foot and Ankle, Inc
- North Smithfield Radiology
- North Smithfield School Department
- North Smithfield School Department
- North Smithfield Urgent Care,LLC
- Northern Ri Rehab Management Associates LP (RHRI Pathology Dept)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.