MOUSAM VALLEY PODIATRY, P.A. (NPI# 1942309737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942309737 |
| Entity Type | Organization |
| Organization Name | MOUSAM VALLEY PODIATRY, P.A. |
| Other Organization Name | ROCHESTER FOOT & ANKLE |
| Practice Address |
21 Whitehall Rd Suite #302 Rochester NH 03867-3236 |
| Mailing Address |
Po Box 736 Springvale ME 04083-0736 |
| Practice Telephone | 6039947633 |
| Practice Fax Number | 6039947648 |
| Mailing Telephone | 6039947633 |
| Mailing Fax Number | 6039947648 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | SCOTT W GERRY (PRESIDENT/PODIATRIST) |
| Authorized Official Telephone | 6039947633 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0193 | NH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 037709 | 01 |
| ME | INDIVIDUAL NPI # | 1760487441 | 01 |
| NH | NPI GROUP | 1942309737 | 01 |
| NH | INDIVIDUAL NPI | 1760487441 | 01 |
| ME | 195460000 | 05 | |
| ME | GROUP NPI # | 1942309737 | 01 |
| NH | 3089587 | 05 |
| Other Name | Type Code |
|---|---|
| Rochester Foot & Ankle | Doing Business As Name - Organization |
| Street Address |
21 WHITEHALL RD SUITE #302 |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528042546 | Michael E Metzger | Internal Medicine | 21 Whitehall Rd, Suite 301, Rochester, NH 03867-3236 | 2005-12-02 |
| 1003094491 | Frisbie Health Services | Internal Medicine | 21 Whitehall Rd, Suite 301, Rochester, NH 03867-3236 | 2008-02-07 |
| 1376742627 | Tamsin Melodie Durand | Surgery | 21 Whitehall Rd, Suite 204, Rochester, NH 03867-3236 | 2007-07-17 |
| 1801012372 | Anthony Ippolito | Internal Medicine | 21 Whitehall Rd, Ste 205, Rochester, NH 03867-3236 | 2007-04-17 |
| 1144347477 | Strafford Cardiology Associates P A | Internal Medicine | 21 Whitehall Rd, Suite 301, Rochester, NH 03867-3236 | 2007-03-23 |
| 1760527113 | Nicolas Mikhael Karam | Internal Medicine | 21 Whitehall Rd, Suite 301, Rochester, NH 03867-3236 | 2007-02-21 |
| 1770649907 | John Chadwick Britton | Surgery | 21 Whitehall Rd, Suite 204, Rochester, NH 03867-3236 | 2006-12-30 |
| 1215093448 | Mark Ramsis Elias | Surgery | 21 Whitehall Rd, Suite 204, Rochester, NH 03867-3236 | 2006-12-30 |
| 1114099702 | Irene Patterson Rupp Hodge | Internal Medicine | 21 Whitehall Rd, Suite 200, Rochester, NH 03867-3236 | 2006-11-15 |
| 1992884837 | David Mark Reeves | Internal Medicine | 21 Whitehall Rd, Suite 302, Rochester, NH 03867-3236 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1770710683 | Katrina Jeanne Manos | Podiatrist | 2236 Ridge Rd W., Rochester, NY 14626-2804 | 2009-06-18 |
| 1336272517 | Stephen Edward Panetta | Podiatrist | 2768 Superior Drive Nw, Rochester, MN 55901 | 2007-03-14 |
| 1518054485 | Metro Footcare Associates L.l.p. | Podiatrist | 2225 Clinton Ave S, Rochester, NY 14618-2623 | 2006-10-10 |
| 1053417014 | Genesee Valley Podiatry LLP | Podiatrist | 500 W Whitney Road, Rochester, NY 14621-3064 | 2006-09-16 |
| 1942243993 | Kevin D Lind | Podiatrist | 210 9th St Se Ste 1, Rochester, MN 55904-6400 | 2006-06-14 |
| 1598718017 | Massimo Pietrantoni | Podiatrist | 382 White Spruce Blvd, Rochester, NY 14623-1604 | 2006-05-18 |
| 1902863863 | Louis J Tallo | Podiatrist | 2225 S Clinton Ave, Rochester, NY 14618-2623 | 2006-04-26 |
| 1386606630 | Joseph Larry Carbone | Podiatrist | 490 Titus Ave, Rochester, NY 14617-3541 | 2006-04-03 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MOUSAM VALLEY PODIATRY, P.A..
| 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.