Active NPI
Tara Susanne Pietrobono, D.P.M.
- Hearing Instrument Specialist
- Greenville, SC
National Provider Identifier
1841448925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS0534
- Practice address
- 1 Creekview CT Ste a
Greenville, SC 29615-4839 - Phone
- (864) 252-4889
- Fax
- (864) 252-4254
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 577 | SC | |
| Hearing Instrument Specialist | 237700000X | HAS0534 | SC | Primary |
Addresses
Primary practice location
1 Creekview CT Ste a
Greenville, SC 29615-4839
Mailing address
1 Creekview CT
Greenville, SC 29615-4839
Phone (864) 252-4889
Other practice location 1
1516 Calhoun St
Columbia, SC 29201-2607
Phone (803) 254-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 577 | SC | MD | Foot & Ankle Surgery Podiatrist |
| HAS0534 | SC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Centers of South Carolina | Past | Accepting new patients | |
| Orthopaedic Associates USA, PA | Foot & Ankle Surgery | Past | Accepting new patients |
| Columbia Foot Clinic | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Columbia, SC
- NPI 1649350273
-
- Orthopaedic Surgery Physician
- Miami Lakes, FL
- NPI 1689778961
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1841448925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREEKVIEW CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154839",
"telephone_number": "864-252-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CREEKVIEW CT STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154839",
"telephone_number": "864-252-4889",
"fax_number": "864-252-4254"
}
],
"practiceLocations": [
{
"address_1": "1516 Calhoun St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012607",
"country_code": "US",
"telephone_number": "803-254-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIETROBONO",
"first_name": "TARA",
"middle_name": "SUSANNE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "SC",
"license": "577",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "SC",
"license": "HAS0534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.