PRIME FOOT AND ANKLE, LLC (NPI# 1053835827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053835827 |
| Entity Type | Organization |
| Organization Name | PRIME FOOT AND ANKLE, LLC |
| Practice Address |
817 Merrimack St Lowell MA 01854-3571 |
| Practice Telephone | 5086678200 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | PAUL GEORGES (DPM) |
| Authorized Official Telephone | 5086678200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2439 | MA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2439 | MA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
2439 | MA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
817 MERRIMACK ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994211 | John J. Clarity | Podiatrist | 817 Merrimack St, Lowell, MA 01854-3571 | 2005-10-02 |
| 1093253700 | Prime Foot and Ankle Care, LLC | Podiatrist | 817 Merrimack St, Unit 1c, Lowell, MA 01854-3571 | 2017-02-02 |
| 1386041499 | John Clarity Dpm | Clinic/Center | 817 Merrimack St, Lowell, MA 01854-3571 | 2014-12-04 |
| 1013316298 | John Clarity, D.p.m. | Podiatrist | 817 Merrimack St, Lowell, MA 01854-3571 | 2014-08-14 |
| 1740608041 | Goldencrest Healthcare Systems LLC | Home Health | 817 Merrimack St, Suite 6a, Lowell, MA 01854-3548 | 2014-04-03 |
| 1871720086 | Lowell Family Medical Care PC | Family Medicine | 817 Merrimack St, Suite7, Lowell, MA 01854-3571 | 2009-06-15 |
| 1285819508 | Lata T. Mundkur Md | Clinic/Center | 817 Merrimack St, Lowell, MA 01854-3571 | 2008-01-05 |
| 1154535425 | David C Morley Jr Md PC | Orthopaedic Surgery | 817 Merrimack St, Lowell, MA 01854-3571 | 2007-05-09 |
| 1003959560 | Maher M Girgis | Obstetrics & Gynecology | 817 Merrimack St, Lowell, MA 01854-3571 | 2007-02-15 |
| 1346387560 | Heritage Park Orthopedics | Orthopaedic Surgery | 817 Merrimack St, Lowell, MA 01854-3571 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| 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 PRIME FOOT AND ANKLE, LLC.
| 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.