NPIMap

Organization Active NPI

Dr Greg J McCarthy PC

  • Podiatrist
  • Sioux City, IA
National Provider Identifier
1922201227
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00575 Issued in IA
Legal business name
DR GREG J MCCARTHY PC
Practice address
2916 Hamilton Blvd
Sioux City, IA 51104-2429
Phone
(712) 255-1621
Fax
(712) 255-1389
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Greg J McCarthy, DPM
Title
President
Phone
(712) 255-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00575 IA Primary

Addresses

Primary practice location

2916 Hamilton Blvd
Sioux City, IA 51104-2429

Mailing address

2916 Hamilton Blvd
Sioux City, IA 51104-2429
Phone (712) 255-1621

Other identifiers 1

IdentifierTypeStateIssuer
0435834MedicaidIA

Other names 1

  • Siouxland Podiatry Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, NE4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040324000919 SD Part B Supplier - Clinic/Group Practice 7315838604 Receives reassigned benefits from 3 practitioners
Practice locations: Dakota Dunes, SD
O20040330000816 IA Part B Supplier - Clinic/Group Practice 7315838604 Receives reassigned benefits from 3 practitioners
Practice locations: Sioux City, IA
O20051221000678 NE Part B Supplier - Clinic/Group Practice 7315838604 Receives reassigned benefits from 3 practitioners
Practice locations: Emerson, NE; South Sioux City, NE
O20100930066511 IA DME Supplier - Physician - Podiatry 7315838604 Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

200 Plymouth St SE
Le Mars, IA 51031

2916 Hamilton Blvd
Uppr C
Sioux City, IA 51104
Phone (712) 255-1621

2916 Hamilton Blvd
Lowr
Sioux City, IA 51104

2916 Hamilton Blvd
Ste 102
Sioux City, IA 51104

1750 E Lake Shore Dr
Ste 110
Decatur, IL 62521
Phone (217) 464-1200

600 N Sioux Point Rd
#A
Dakota Dunes, SD 57049
Phone (605) 232-3332

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1922201227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-255-1621",
            "fax_number": "712-255-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-255-1621",
            "fax_number": "712-255-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GREG J MCCARTHY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-255-1621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435834",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siouxland Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.