The Springwood Podiatry Group, a Profesional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

THE SPRINGWOOD PODIATRY GROUP, A PROFESIONAL CORPORATION

Practice address

255 N Gilbert St
Ste B-1
Hemet, CA 92543-4066

Phone

(951) 652-4386

Fax

(951) 925-4947

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert P Drake, DPMNPI 1609836543

Title

Co-Owner

Phone

(951) 652-4386

Specialties & licenses 1

Addresses

Other names 1

• SPRINGWOOD PODIATRY GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Robert Paul Drake, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hemet, CA
  • NPI 1609836543
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy Lee Paolercio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hemet, CA
  • NPI 1598729923
  Medicare reassignment Care Compare group NPD
• Scott Michael De Wenter, DPM

  • Podiatrist
  • Lake Elsinore, CA
  • NPI 1376569194
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1891879334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N GILBERT ST",
            "address_2": "STE B-1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434066",
            "telephone_number": "951-652-4386",
            "fax_number": "951-925-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N GILBERT ST",
            "address_2": "STE B-1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434066",
            "telephone_number": "951-652-4386",
            "fax_number": "951-925-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPRINGWOOD PODIATRY GROUP, A PROFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "951-652-4386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGWOOD PODIATRY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Terukina, DPT
• John Grant Tew, MD
• Shivani Thacker, DO
• The DO Doctors
• The Recovery Village California, LLC
• Jeff Joe Thekkekara, DO
• Julie Ann Thomas, M.D.
• Lisa Jean Marie Thompson
• Marquese Thompson
• Cylie Diane Thornton, BT

• Foot & Ankle Surgery Podiatrist in Hemet, CA
• Providers in Hemet, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.