TOBACK PODIATRY, PLLC (NPI# 1164593695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164593695 |
| Entity Type | Organization |
| Organization Name | TOBACK PODIATRY, PLLC |
| Practice Address |
3433 Route 9w Highland NY 12528-8550 |
| Mailing Address |
Po Box 1550 Highland NY 12528-8550 |
| Practice Telephone | 8453393338 |
| Practice Fax Number | 8453401074 |
| Mailing Telephone | 8453393338 |
| Mailing Fax Number | 8453401074 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | DR. TRACEY G TOBACK (OWNER) |
| Authorized Official Telephone | 8456913654 |
| Authorized Official Credential | PODIATRIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004154-3 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3433 ROUTE 9W |
| City | HIGHLAND |
| State | NY |
| Zip Code | 12528-8550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372292 | Kate Shults Dammer | Physical Therapist | 280 Rout 299, Suite 1, Highland, NY 12528 | 2020-10-06 |
| 1477194074 | Natalee R Riley | Licensed Practical Nurse | 6 Commercial Ave Apt C, Highland, NY 12528 | 2019-10-04 |
| 1982185930 | Giselle Marietta Colaco | Physical Therapist | Wingate At Ulster, One Wingate Way, Highland, NY 12528 | 2018-08-28 |
| 1083085237 | Alyssa D'alto | Speech-Language Pathologist | 16 Lockhart Lane, Highland, NY 12528 | 2015-10-14 |
| 1689071953 | Althea P. Milton | Social Worker | 15 Oak Crest Drive, Highland, NY 12528 | 2014-12-02 |
| 1295079267 | Colleen P. Mcguigan | Licensed Practical Nurse | 3 Cusa Dr, Highland, NY 12528 | 2012-11-15 |
| 1982984068 | Elizabeth Anne Troicke | Licensed Practical Nurse | 500 Rt 299, Unite 22c, Highland, NY 12528 | 2011-08-22 |
| 1801055272 | Kenneth David Schappe | Massage Therapist | 280 State Route 299, Suite #2, Highland, NY 12528 | 2008-06-02 |
| 1780758870 | Michele Kee Goldman | Nurse Practitioner | 514 Route 299, Highland, NY 12528 | 2006-11-20 |
| 1023192770 | Tami L Pucino | Nurse Practitioner | 3548 Us Highway 9w, Highland, NY 12528 | 2006-10-25 |
| Find all providers in zip 12528 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609821024 | Michael W Krupic Dpm Pllc | Podiatrist | 2301 S Milford Rd, Highland, MI 48357-4985 | 2006-05-24 |
| 1285623777 | Community Foot Centers PC | Podiatrist | 2997 E Highland Rd, Highland, MI 48356-2811 | 2005-10-18 |
| 1508341850 | Lewis J Sims Dpm P.C. | Podiatrist | 60 Park Ln, Highland, NY 12528-7810 | 2018-10-02 |
| 1538698451 | Utah Podiatric Physician and Surgeons Specialist Group, LLC | Podiatrist | 5455 W 11000 N Ste 203, Highland, UT 84003-8802 | 2017-06-05 |
| 1912433426 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 5455 W 11000 N, #203, Highland, UT 84003-8800 | 2017-05-03 |
| 1396173753 | Mia Thouvenot | Podiatrist | 12866 Troxler Ave, Highland, IL 62249 | 2013-10-23 |
| 1275696908 | Gary Alan Wasiak | Podiatrist | 2997 E Highland Rd, Highland, MI 48356-2811 | 2006-12-17 |
| 1346277597 | Thaddeus F Radziwiecki | Podiatrist | 3641 Ridge Rd, Suite 6, Highland, IN 46322-2080 | 2006-06-26 |
| 1134163595 | Thaddeus F. Radziwiecki, D.p.m., P.C. | Podiatrist | 3641 Ridge Rd, Suite 6, Highland, IN 46322-2080 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.