NPIMap

Organization Active NPI

Foot Health Center of Merrimack Valley PC

  • Foot Surgery Podiatrist
  • North Andover, MA
National Provider Identifier
1992851950
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2106 Issued in MA
Legal business name
FOOT HEALTH CENTER OF MERRIMACK VALLEY PC
Practice address
451 Andover St
Suite 209
North Andover, MA 01845-5044
Phone
(978) 686-7623
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Teresa Burtoft, DPM
Title
President
Phone
(978) 686-7623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 2106 MA Primary

Addresses

Primary practice location

451 Andover St
Suite 209
North Andover, MA 01845-5044

Mailing address

451 Andover St
Suite 209
North Andover, MA 01845-5044
Phone (978) 686-7623

Other practice location 1

1565 Main St Ste 102
Tewksbury, MA 01876-4766
Phone (978) 640-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090526000184 MA Part B Supplier - Clinic/Group Practice 8527117407 Receives reassigned benefits from 4 practitioners
Practice locations: North Andover, MA; Tewksbury, MA
O20100930010053 MA DME Supplier - Physician - Podiatry 8527117407 Practice locations: North Andover, MA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1992851950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 209",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-686-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 209",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-686-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tewksbury",
            "state": "MA",
            "postal_code": "018764766",
            "country_code": "US",
            "telephone_number": "978-640-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT HEALTH CENTER OF MERRIMACK VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "BURTOFT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-686-7623",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.