Norwood Podiatry Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1496 Issued in MA

Legal business name

NORWOOD PODIATRY ASSOCIATES PC

Practice address

24 Walpole St FL 1
Norwood, MA 02062-3356

Phone

(781) 762-4205

Fax

(781) 255-7905

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Sarah Dimambro

Title

Manager

Phone

(781) 762-4205

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NPA Cape Ann Foot and Ankle Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8413/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Leroy J Kelley III, DPM

  • Podiatrist
  • Norwood, MA
  • NPI 1003897034
  Medicare reassignment NPD
• Marc Saulnier, D.C.

  • Chiropractor
  • Norwood, MA
  • NPI 1023295029
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1821089079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622347",
            "telephone_number": "781-762-4205",
            "fax_number": "781-255-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALPOLE ST FL 1",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623356",
            "telephone_number": "781-762-4205",
            "fax_number": "781-255-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Blackburn Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019302292",
            "country_code": "US",
            "telephone_number": "978-281-2550",
            "fax_number": "978-325-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORWOOD PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "DIMAMBRO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-762-4205"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9722904",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y77057",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkelley@6199.nemohealthdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "480 Washington St",
            "city": "Norwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020622347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NPA Cape Ann Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norwood Family Dental PLLC
• Norwood Pediatric Dentistry
• Norwood Pharmacy , Inc
• Norwood Pharmacy Inc
• Norwood Physical Therapy, LLC
• Norwood Podiatry Associates PC
• Elizabeth Sarah Novacek, LICSW
• Bruce Novis, M.D.
• Nurturepath Integrative Counseling LLC
• NXKC Norwood LLC

• Podiatrist in Norwood, MA
• Providers in Norwood, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.

Verify at the official NPI Registry.