Andover Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1991 Issued in MA

Legal business name

ANDOVER PODIATRY PC

Practice address

107 Main St
Andover, MA 01810-3803

Phone

(978) 475-1313

Fax

(978) 475-1166

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John M Hurchik, DPM

Title

President

Phone

(978) 475-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Drew Howland Taft, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Woburn, MA
  • NPI 1598928525
  NPD (past)
• Lisa Ann Pallini, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1144280892
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902015142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103803",
            "telephone_number": "978-475-1313",
            "fax_number": "978-475-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103803",
            "telephone_number": "978-475-1313",
            "fax_number": "978-475-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HURCHIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-475-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738584",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andover Mental Health Associates, LLC
• Andover Obstetrics and Gynecological Associates, PC
• Andover Optical Inc
• Andover Optometry on Central LLC
• Andover Periodontics, PC
• Andover Psychiatric PC
• Andover Smiles
• Andover Social Development and Counseling Center
• Andover Spine Center
• Andover Surgery Center, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.