BURLINGTON PODIATRY ASSOC PC (NPI# 1629110002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629110002 |
| Entity Type | Organization |
| Organization Name | BURLINGTON PODIATRY ASSOC PC |
| Practice Address |
281 Cambridge Street Burlington MA 01803 |
| Practice Telephone | 7812721040 |
| Practice Fax Number | 7812709072 |
| Mailing Telephone | 7812721040 |
| Mailing Fax Number | 7812709072 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID JOSEPH CARROLL (PRESIDENT) |
| Authorized Official Telephone | 7812721040 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFTS | 704063 | 01 | |
| BCBS | Y77215 | 01 |
| Street Address |
281 CAMBRIDGE STREET |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629086590 | Edgar H Mullin | Podiatrist | 281 Cambridge Street, Burlington, MA 01803 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| 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 |
|---|---|---|---|---|
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1649363698 | Jonathan H Hilton | Podiatrist | 4020 Buena Park Rd, Burlington, WI 53105-7991 | 2006-10-02 |
| 1629086590 | Edgar H Mullin | Podiatrist | 281 Cambridge Street, Burlington, MA 01803 | 2006-08-04 |
| 1619907896 | Steven Lorynski | Podiatrist | 2020 Bustleton Rd, Burlington, NJ 08016-9732 | 2006-07-04 |
| 1013453851 | Jmh Podiatry Pllc | Podiatrist | 281 Cambridge St, Burlington, MA 01803-2543 | 2017-01-18 |
| 1821453960 | Alexis Lund | Podiatrist | 319 W Broad St, Burlington, NJ 08016-1343 | 2015-12-16 |
| 1679957559 | Nidhi Nayyar | Podiatrist | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2015-07-10 |
| 1144499781 | Anthony J. Cordisco, Dpm | Podiatrist | 1105 Sunset Rd, Coopertown Plaza, Burlington, NJ 08016-2290 | 2008-02-28 |
| 1649329871 | Gerald R Schneider | Podiatrist | 248 Mchenry St, Burlington, WI 53105-1828 | 2007-01-09 |
| 1679633382 | Ronald D Lee | Podiatrist | 102 S 6th St, Burlington, IA 52601-5403 | 2006-12-11 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on BURLINGTON PODIATRY ASSOC PC.
| 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.