Oswego County Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N3230 Issued in NY

Legal business name

OSWEGO COUNTY PODIATRY PC

Practice address

178 S 1St St
Fulton, NY 13069

Phone

(315) 593-3971

Fax

(315) 592-5132

NPI assigned

Feb 13, 2007

Last updated

Feb 29, 2008By 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

Marc A Grosack, DPM

Title

Partner

Phone

(315) 593-3971

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1811039290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-593-3971",
            "fax_number": "315-592-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-593-3971",
            "fax_number": "315-592-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO COUNTY PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "GROSACK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-593-3971",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2906",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie R Olon, LMSW
• Oswego Co Ambulance & Hearse Serv Inc (Oswego County Ambulance Service)
• Oswego County Opportunities, Inc.
• Oswego County Opportunities, Inc.
• Oswego County Oppportunities, Inc.
• Oswego County Urology PC
• Oswego Health Home Care LLC..
• Oswego Industries Inc.
• Joselito A Ouano, MD
• Carla Brooke Overton, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.