Federal Hill Podiatry Group in Providence - Foot & Ankle Surgery

Federal Hill Podiatry Group - NPI 1194846154

Federal Hill Podiatry Group is a Foot & Ankle Surgery in Providence, Rhode Island. Federal Hill Podiatry Group practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Federal Hill Podiatry Group is 1194846154. The last update date is 2011-08-26.

Federal Hill Podiatry Group's current location address is 201 Broadway, Providence, Rhode Island. You can contact this provider via phone number 4014219167 and fax number 4014219193. The mailing address for Federal Hill Podiatry Group is 201 Broadway, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Federal Hill Podiatry Group
Address 201 Broadway, Providence, Rhode Island
Phone Number 4014219167
Fax Number 4014219193
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Decesare A Joseph
Credentials DPM
Telephone Number 4014219167

NPI Number Detail

NPI Number 1194846154
Provider Enumeration Date 2007-04-03
Last Updated Date 2011-08-26

Provider Mailing Address Detail

Address 201 Broadway
City Providence
State Rhode Island (RI)
Post Code 29033015
Phone Number 4014219167
Fax Number 4014219193

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No DPM00240
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2343 RI NEIGHBORHOOD J A DECESARE
400515 RI BLUECHIP J A DECESARE DP
7071 RI BCBS RI GROUP ID
R003457 RI WPS TRICARE GROUP ID
5779230 RI AETNA
137515002 RI CIGNA
7071 RI BLUECHIP GROUP ID
357 RI NEIGHBORHOOD GROUP ID
FH00185 RI --
ZE5188 RI BCBS MA GROUP ID

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FAQs about Federal Hill Podiatry Group

What is the Federal Hill Podiatry Group's unique identification number?

The Federal Hill Podiatry Group has been assigned the NPI (National Provider Identifier) Number 1194846154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Federal Hill Podiatry Group's facilities are situated?

The facilities of Federal Hill Podiatry Group are physically located at the following address: 201 Broadway, Providence, RI, 29033015.

What is Federal Hill Podiatry Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The Federal Hill Podiatry Group's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.

On what date did the Federal Hill Podiatry Group receive its 1194846154 assignment from the Centers for Medicare & Medicaid Services?

The Federal Hill Podiatry Group was assigned its 1194846154 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date was the information regarding Federal Hill Podiatry Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Federal Hill Podiatry Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-26.

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