Cruddie L. Torian, Sr, DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

138 Issued in SC

Legal business name

CRUDDIE L. TORIAN, SR, DPM, PA

Doing business as

Northeast Family Podiatry, PA

Practice address

131 Wildewood Park Dr
Columbia, SC 29223-4300

Phone

(803) 462-7040

Fax

(803) 462-7047

NPI assigned

Dec 8, 2006

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cruddie L Torian Sr., DPM

Title

Owner

Phone

(803) 462-7040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTHEAST FAMILY PODIATRY, PA Doing business as

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1801956222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24587",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292244587",
            "telephone_number": "803-462-7040",
            "fax_number": "803-462-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WILDEWOOD PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234300",
            "telephone_number": "803-462-7040",
            "fax_number": "803-462-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUDDIE L. TORIAN, SR, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "TORIAN",
        "authorized_official_first_name": "CRUDDIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-462-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9946",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6289",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST FAMILY PODIATRY, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Miranda P Crump

• Podiatrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.