SHORELINE PODIATRY, INC (NPI# 1932133006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932133006 |
| Entity Type | Organization |
| Organization Name | SHORELINE PODIATRY, INC |
| Practice Address |
24 Salt Pond Rd Unit E-1 Wakefield RI 02879-4314 |
| Practice Telephone | 4017832424 |
| Practice Fax Number | 4017892095 |
| Mailing Telephone | 4017832424 |
| Mailing Fax Number | 4017892095 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | DR. JAMES I MCCORMICK (PRESIDENT) |
| Authorized Official Telephone | 4017832424 |
| 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 |
|---|---|---|---|
| RI | AETNA COMMERCIAL | 1358102 | 01 |
| RI | 9004977 | 05 | |
| RI | NEIGHBORHOOD HEALTH | 1909A | 01 |
| RI | RAILROAD MEDICARE | PT SS#-TAX ID#204928 | 01 |
| RI | AETNA HMO | 1358102 | 01 |
| Street Address |
24 SALT POND RD UNIT E-1 |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441388 | Frank Albert Dequattro | Dentist | 24 Salt Pond Rd, Suite C1, Wakefield, RI 02879-4314 | 2005-07-20 |
| 1396387437 | Speak Freely, LLC | Clinic/Center | 24 Salt Pond Rd, Wakefield, RI 02879-4314 | 2019-10-10 |
| 1184134686 | Carol Bongiovanni | Dentist | 24 Salt Pond Rd, Wakefield, RI 02879-4314 | 2017-10-10 |
| 1922495134 | Joseph C. Disano Dds LLC | Clinic/Center | 24 Salt Pond Rd, Suite D1, Wakefield, RI 02879-4314 | 2015-04-26 |
| 1780085563 | Andrea Lavigne | Psychologist | 24 Salt Pond Rd, D3, Wakefield, RI 02879-4314 | 2014-09-11 |
| 1265743538 | Sean T. Patrick | Dentist | 24 Salt Pond Rd, Ste F1, Wakefield, RI 02879-4335 | 2010-07-01 |
| 1427385863 | Catherine Hanson | Counselor | 24 Salt Pond Rd, B4, Wakefield, RI 02879-4314 | 2009-11-05 |
| 1922231869 | Jason Eric Laurie | Marriage & Family Therapist | 24 Salt Pond Rd, Suite H3, Wakefield, RI 02879-4314 | 2009-08-26 |
| 1932360666 | P.r.tipirneni,m.d.,inc. | Otolaryngology | 24 Salt Pond Rd, Building H-2, Wakefield, RI 02879-4314 | 2008-06-25 |
| 1255592044 | South County Behavioral Medicine Inc | Psychologist | 24 Salt Pond Rd, Unit D3, Wakefield, RI 02879-4314 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| 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 |
|---|---|---|---|---|
| 1467406520 | Wakefield Place Podiatry | Podiatrist | 380 Lowell St, Ste. 101b, Wakefield, MA 01880-1984 | 2006-05-20 |
| 1023295631 | Eric D Meehan | Podiatrist | 70 Kenyon Ave, Ste 212, Wakefield, RI 02879-4239 | 2008-01-25 |
| 1225042591 | South County Podiatry Associates, Inc. | Podiatrist | 70 Kenyon Ave, Suite 212, Wakefield, RI 02879-4239 | 2006-07-29 |
| 1184653602 | Marianne Sachetta | Podiatrist | 380 Lowell St, Suite 101b, Wakefield, MA 01880-1984 | 2006-06-30 |
| 1306803648 | John C Zervos | Podiatrist | 70 Kenyon Ave, South County Medical Office Building Suite #212, Wakefield, RI 02879 | 2006-04-28 |
| 1790741791 | Eleni T Pappas | Podiatrist | 70 Kenyon Ave, South County Medical Office Building Suite #212, Wakefield, RI 02879 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664766 | Breelyn Nicole Miles | Podiatrist | 825 Chalkstone Ave Apt 3, Providence, RI 02908-4728 | 2018-07-01 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1760638191 | Andrew B. Silverman Dpm, Inc. | Podiatrist | 333 School St Ste 209, Pawtucket, RI 02860-5336 | 2008-08-18 |
| 1619135217 | Dennis J Hart, Dpm, PC | Podiatrist | 301 Mendon Rd, Woonsocket, RI 02895-2411 | 2008-05-30 |
| 1568620169 | Timothy J Hart, Dpm, PC | Podiatrist | 1376 Broncos Hwy, Oakland, RI 02858-1000 | 2008-05-30 |
| 1932231396 | Kenneth M. Segal, Dpm, Ltd | Podiatrist | 677 Hope Street, Providence, RI 02906-2651 | 2007-03-12 |
| 1780748806 | North Smithfield Podiatry Inc | Podiatrist | 249 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-21 |
| 1972672699 | Lee S Lovitz | Podiatrist | 1193 Tiogue Avenue, Coventry, RI 02893 | 2006-11-07 |
| 1881773018 | Brian William Cornell | Podiatrist | 55 Memorial Boulevard, Newport, RI 02840-3679 | 2006-11-06 |
| 1881771186 | Linda Marie Thornton | Podiatrist | 1536 Cranston St, Cranston, RI 02920-5264 | 2006-11-01 |
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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.