Mousam Valley Podiatry, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0193 Issued in NH

Legal business name

MOUSAM VALLEY PODIATRY, P.A.

Doing business as

Rochester Foot & Ankle

Practice address

21 Whitehall Rd
Suite #302
Rochester, NH 03867-3236

Phone

(603) 994-7633

Fax

(603) 994-7648

NPI assigned

Sep 21, 2006

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott W Gerry, D.P.M.NPI 1760487441

Title

President/Podiatrist

Phone

(603) 994-7633

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Rochester Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott W Gerry, D. P. M.

  • Foot & Ankle Surgery Podiatrist
  • Rochester, NH
  • NPI 1760487441
  Medicare reassignment Authorized official
• Amit Joglekar, M.D.,

  • Pulmonary Disease Physician
  • Rochester, NH
  • NPI 1891879045
  NPD (past)
• Vinia Madonna Castillo Mendoza, M.D.

  • Pulmonary Disease Physician
  • Dover, NH
  • NPI 1134338858
  NPD (past)
• David Mark Reeves, M.D.

  • Pulmonary Disease Physician
  • Dover, NH
  • NPI 1992884837
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1942309737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040830736",
            "telephone_number": "603-994-7633",
            "fax_number": "603-994-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHITEHALL RD",
            "address_2": "SUITE #302",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673236",
            "telephone_number": "603-994-7633",
            "fax_number": "603-994-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSAM VALLEY PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "GERRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PODIATRIST",
        "authorized_official_telephone_number": "603-994-7633",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "037709",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1760487441",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195460000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1942309737",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1942309737",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089587",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1760487441",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Anne Morgan, LMT
• William Robert Morgan, MD
• Jessica Moro
• John J Moro IV, PHARMD.
• Nancy Morse, M ED.
• Lisa Murphy, MA, BCBA, LABA
• Samantha G Myers, AP.R.N.
• Amanda Nadeau
• Kristian Nadeau
• Melissa Nagel, AS

• Foot & Ankle Surgery Podiatrist in Rochester, NH
• Providers in Rochester, NH by specialty
• Foot & Ankle Surgery Podiatrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.