NORTH ATLANTIC PODIATRY, P.C. (NPI# 1437339868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437339868 |
| Entity Type | Organization |
| Organization Name | NORTH ATLANTIC PODIATRY, P.C. |
| Practice Address |
83 Sheridan Ave Medford MA 02155-4042 |
| Practice Telephone | 9784584011 |
| Practice Fax Number | 9784584020 |
| Mailing Telephone | 9784584011 |
| Mailing Fax Number | 9784584020 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | WAYNE MCCULLOUGH (DPM) |
| Authorized Official Telephone | 9784584011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
83 SHERIDAN AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437204930 | Rogue Valley Foot Clinic P.C. | Podiatrist | 2655 Siskiyou Blvd, Medford, OR 97504-8125 | 2007-01-24 |
| 1306131032 | Dpmbeckmannnror LLC | Podiatrist | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912449133 | Ayleen Gregorian Dpm | Podiatrist | 22 Park Ln, Harvard, MA 01451-1436 | 2016-11-07 |
| 1851625438 | John M Santo | Podiatrist | 5 Dennett Dr, Newburyport, MA 01950-3303 | 2009-09-29 |
| 1285825364 | Dr Malcolm I Price | Podiatrist | 79 Prichard St, Fitchburg, MA 01420-3247 | 2007-08-05 |
| 1205042397 | Edward T Hurwitz Dpm PC | Podiatrist | 394 W Broadway, South Boston, MA 02127-2215 | 2007-05-15 |
| 1770647943 | Kenneth Michael Lavin | Podiatrist | 272 Chauncy Street Suite 4, Mansfield, MA 02048 | 2006-12-21 |
| 1225198906 | Robert W Uhrich | Podiatrist | 3 Bessom St, #249, Marblehead, MA 01945-2372 | 2006-12-11 |
| 1073690285 | David Crosier Whitney Sr. | Podiatrist | 95c Davis Straits, Falmouth, MA 02540-3909 | 2006-11-01 |
| 1467532812 | Daniel M. Rutowicz | Podiatrist | 145 Rosemary St Ste B, Needham, MA 02494-3259 | 2006-10-17 |
| 1790872497 | Anthony J Tickner | Podiatrist | 439 Main St, Hudson, MA 01749-1855 | 2006-10-06 |
| 1447343744 | Albert A Daly | Podiatrist | 253 Salem St, Malden, MA 02148-4118 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH ATLANTIC PODIATRY, P.C..
| 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.