SPORTS PODIATRY RESOURCE, INC (NPI# 1720433576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720433576 |
| Entity Type | Organization |
| Organization Name | SPORTS PODIATRY RESOURCE, INC |
| Practice Address |
67 Union St Suite 310 Natick MA 01760-7700 |
| Mailing Address |
1443 Beacon St Brookline MA 02446-4707 |
| Practice Telephone | 5086538888 |
| Practice Fax Number | 6177349733 |
| Mailing Telephone | 6172772662 |
| Mailing Fax Number | 6177349733 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | DR. MICHAEL A ROBINSON (PRESIDENT) |
| Authorized Official Telephone | 6172772662 |
| 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 |
PD1511 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0338214 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SPORTS PODIATRY RESOURCE, INC. | 1443 Beacon St., Brookline, MA 02446 |
| Street Address |
67 UNION ST SUITE 310 |
| City | NATICK |
| State | MA |
| Zip Code | 01760-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862994 | Arnold Miller | Specialist | 67 Union St, Suite 301, Natick, MA 01760-7700 | 2005-09-22 |
| 1871194720 | Catherine Porcello | Nurse Practitioner | 67 Union St, Natick, MA 01760-7700 | 2020-11-06 |
| 1336740497 | Karen Lesley Magoon | Nurse Practitioner | 67 Union St, Natick, MA 01760-6089 | 2020-11-05 |
| 1194349936 | Metrowest Ultrasound LLC | Clinic/Center | 67 Union St, Natick, MA 01760-7700 | 2020-06-06 |
| 1972125102 | Youssef Mina | Radiologic Technologist | 67 Union St, Natick, MA 01760-7700 | 2020-05-11 |
| 1275163669 | Scott Munger | Social Worker | 67 Union St, Natick, MA 01760-7700 | 2020-01-24 |
| 1093296105 | Allyson Strassberger | Social Worker | 67 Union St, Natick, MA 01760-7700 | 2018-08-27 |
| 1861941874 | Stephanie L Kessler | Physician Assistant | 67 Union St, Natick, MA 01760-7700 | 2016-10-03 |
| 1780042614 | Karlee Walther | Registered Nurse | 67 Union St, Suite 501, Natick, MA 01760-7700 | 2016-02-06 |
| 1427444314 | Erica Andersen | Nurse Practitioner | 67 Union St, Natick, MA 01760-7700 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
| 1366927469 | Edith Siegel Wolfson | Social Worker | 2 Stagg Drive, Natick, MA 01760 | 2018-09-25 |
| 1447772801 | Soraia L Pinto | Registered Nurse | 10 Alden Street, Natick, MA 01760 | 2017-07-07 |
| 1003336264 | Aurora Counseling Associates | Counselor | 20 Main St. Suite 202, Natick, MA 01760 | 2017-06-20 |
| 1548790140 | Sally Miner Heerde | Speech-Language Pathologist | 38 Fairway Circle, Natick, MA 01760 | 2017-06-15 |
| 1962937516 | Michaela Rice | Behavior Technician | 841 Worcester Road, 102, Natick, MA 01760 | 2017-04-20 |
| 1831545375 | Nadia Nina Sayess | Counselor | 17 Morgan Drive, Apt 105, Natick, MA 01760 | 2016-05-13 |
| 1114398468 | Ruvarashe Swiswa | Social Worker | 251 W Central St Ste 25, Natick, MA 01760 | 2015-10-13 |
| 1669897153 | Simon Medical Service | Durable Medical Equipment & Medical Supplies | 16 Tech Circle, Natick, MA 01760 | 2014-02-20 |
| 1639418965 | Cfo Retail Services, LLC | Eyewear Supplier (Equipment, not the service) | 1245 Worcester Road, Natick Mall, Natick, MA 01760 | 2013-02-06 |
| Find all providers in zip 01760 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215370093 | Michael L Sganga | Podiatrist | 313 Speen St, South 2-department of Surgery, Natick, MA 01760-1538 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
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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.