Podiatry Specialists of Ri

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM00242 Issued in RI

Legal business name

PODIATRY SPECIALISTS OF RI

Practice address

1539 Atwood Avenue
Suite 102
Johnston, RI 02919

Phone

(401) 751-4701

Fax

(401) 454-4451

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

John R Miele, DPMNPI 1265501340

Title

President

Phone

(401) 751-4701

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

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

• John R Miele, D.P.M.

  • Podiatrist
  • Johnston, RI
  • NPI 1265501340
  Medicare reassignment NPD Authorized official
• Tiffany Lorraine Hodgson, DPM

  • Podiatrist
  • Fall River, MA
  • NPI 1942216049
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1831381573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVENUE",
            "address_2": "SUITE 102",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-751-4701",
            "fax_number": "401-454-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVENUE",
            "address_2": "SUITE 102",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-751-4701",
            "fax_number": "401-454-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY SPECIALISTS OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "MIELE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-751-4701",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM00242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007054",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "70544",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "202117",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Piccoli
• Katherine Pierce, RN, FNP-C
• Steven Domenic Pirri Jr.
• Pocasset Bay Al Operator, LLC
• Pocasset LP
• Dieter Pohl, M.D.
• Lori G Polacek, MD
• Ann M Porto, PSY.D.
• Prospect Blackstone Valley Surgicare, LLC
• Ann M. Pruefer, LICSW

• Podiatrist in Johnston, RI
• Providers in Johnston, RI by specialty
• Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.