Bayside Podiatry Pa in Spearfish - Podiatrist
Bayside Podiatry Pa - NPI 1740345057
Bayside Podiatry Pa is a Podiatrist in Spearfish, South Dakota. Bayside Podiatry Pa practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bayside Podiatry Pa is 1740345057. The last update date is 2009-07-08.
Bayside Podiatry Pa's current location address is Po Box 422, Spearfish, South Dakota. You can contact this provider via phone number 6056415794 and fax number 4803935577. The mailing address for Bayside Podiatry Pa is Po Box 422, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bayside Podiatry Pa |
|---|---|
| Address | Po Box 422, Spearfish, South Dakota |
| Phone Number | 6056415794 |
| Fax Number | 4803935577 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Riley Lorri |
| Credentials | DPM |
| Telephone Number | 6056415794 |
NPI Number Detail
| NPI Number | 1740345057 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2009-07-08 |
Provider Mailing Address Detail
| Address | Po Box 422 |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577830422 |
| Phone Number | 6056415794 |
| Fax Number | 4803935577 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO3166 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5320260001 | FL | DMERC | |
| P00205681 | FL | MEDICARE RAILROAD | |
| 65859Z | FL | BLUE CROSS |
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What is the Bayside Podiatry Pa's 1740345057?
The Bayside Podiatry Pa's NPI (National Provider Identifier) Number is 1740345057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bayside Podiatry Pa's physical address?
The Bayside Podiatry Pa is physically located at Po Box 422, in the city of Spearfish, SD, with the postal code 577830422.
What is Bayside Podiatry Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bayside Podiatry Pa's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date was the 1740345057 assigned to Bayside Podiatry Pa?
The Bayside Podiatry Pa was issued its 1740345057 on 2006-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bayside Podiatry Pa most recently updated or revised?
The information pertaining to Bayside Podiatry Pa, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-08.
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