Active NPI
Mark Tuler DPM
- Podiatrist
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1683
- Legal business name
- MARK TULER DPM
- Practice address
- 32 South St
Suite 301
Waltham, MA 02453-3594 - Phone
- (781) 893-8208
- NPI assigned
- Jun 14, 2006
- Last updated
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Tuler, DPM
- Title
- Owner
- Phone
- (781) 893-8208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1683 | MA | Primary |
Addresses
Primary practice location
32 South St
Suite 301
Waltham, MA 02453-3594
Mailing address
32 South St
Suite 301
Waltham, MA 02453-3594
Phone (781) 893-8208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9772715 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930036992 | MA | DME Supplier - Physician - Podiatry | 3274601372 | Practice locations: Waltham, MA |
National Provider Directory
National Provider DirectoryLocations
32 South St
Waltham, MA 02453
Phone (781) 893-0897
32 South St
Ste 301
Waltham, MA 02453
Phone (781) 893-8208
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Waltham, MA
- NPI 1700822814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1972546224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SOUTH ST",
"address_2": "SUITE 301",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533594",
"telephone_number": "781-893-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SOUTH ST",
"address_2": "SUITE 301",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533594",
"telephone_number": "781-893-8208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK TULER DPM",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "TULER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-893-8208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9772715",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.