SAMUEL B PEARLSTEIN (NPI# 1972665719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972665719 |
| Entity Type | Organization |
| Organization Name | SAMUEL B PEARLSTEIN |
| Practice Address |
512 Towne Dr Fayetteville NY 13066-1331 |
| Practice Telephone | 3156375500 |
| Practice Fax Number | 3156375588 |
| Mailing Telephone | 3156375500 |
| Mailing Fax Number | 3156375588 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MS. DEBRA L PEARLSTEIN (OFFICE MANAGER) |
| Authorized Official Telephone | 3156375500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
NY | Podiatric Medicine & Surgery Service Providers | |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
NY | Podiatric Medicine & Surgery Service Providers | |
| Y | 213E00000X | Podiatrist | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
512 TOWNE DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179740 | Kathleen M Lynch | Podiatrist | 512 Towne Dr, Fayetteville, NY 13066-1331 | 2006-05-12 |
| 1740387703 | Samuel B Pearlstein | Podiatrist | 512 Towne Dr, Fayetteville, NY 13066-1331 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| 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 |
|---|---|---|---|---|
| 1417509597 | Dr. Austin Kramer P.a. | Podiatrist | 509 E Millsap Rd Ste Ve101, Fayetteville, AR 72703-4067 | 2019-07-10 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1902239486 | Austin Alan Kramer | Podiatrist | 509 E Millsap Rd Ste 101, Fayetteville, AR 72703-4862 | 2013-08-19 |
| 1609112978 | Nathan Ashby Dpm Pllc | Podiatrist | 124 Margo Ln, Fayetteville, NY 13066-1529 | 2012-12-14 |
| 1528238037 | Joseph P. Novek Dpm | Podiatrist | 6950 E Genesee St, Fayetteville, NY 13066-1036 | 2008-03-11 |
| 1669558466 | Joseph P Novek | Podiatrist | 6950 East Genesee St, Fayetteville, NY 13066 | 2006-10-27 |
| 1932131935 | Lloyd Trichell | Podiatrist | 509 E Millsap Rd, Suite #101, Fayetteville, AR 72703-4067 | 2006-07-07 |
| 1508800988 | Steven K Bowen | Podiatrist | 1645 Owen Dr, Fayetteville, NC 28304-3425 | 2006-06-15 |
| 1780634535 | Sandra R Sheehan | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-11 |
| 1043288459 | Roberta Jean Parker | Podiatrist | 730 West Lanier Avenue, Fayetteville, GA 30214 | 2006-03-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on SAMUEL B PEARLSTEIN.
| 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.