Charles W Mistretta, Dpm, Pc in Jamestown - Foot Surgery
Charles W Mistretta, Dpm, Pc - NPI 1811020571
Charles W Mistretta, Dpm, Pc is a Foot Surgery in Jamestown, New York. Charles W Mistretta, Dpm, Pc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Charles W Mistretta, Dpm, Pc is 1811020571. The last update date is 2020-08-22.
Charles W Mistretta, Dpm, Pc's current location address is 23 Ivy St, Jamestown, New York. You can contact this provider via phone number 7166649698 and fax number 7166613851. The mailing address for Charles W Mistretta, Dpm, Pc is 23 Ivy St, Jamestown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles W Mistretta, Dpm, Pc |
|---|---|
| Address | 23 Ivy St, Jamestown, New York |
| Phone Number | 7166649698 |
| Fax Number | 7166613851 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mistretta W Charles |
| Credentials | DPM |
| Telephone Number | 7166649698 |
NPI Number Detail
| NPI Number | 1811020571 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 23 Ivy St |
|---|---|
| City | Jamestown |
| State | New York (NY) |
| Post Code | 147018212 |
| Phone Number | 7166649698 |
| Fax Number | 7166613851 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | N004011-1 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2433021 | NY | -- | |
| 500968001 | NY | BLUE CROSS OF WNY | |
| 957731 | NY | -- | |
| 10256401 | NY | UNIVERA HEALTH CARE | |
| 8905546 | NY | INDEPENDENT HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles W Mistretta, Dpm, Pc by the Centers for Medicare & Medicaid Services?
The Charles W Mistretta, Dpm, Pc has been assigned the NPI (National Provider Identifier) 1811020571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Charles W Mistretta, Dpm, Pc is physically located?
The Charles W Mistretta, Dpm, Pc is physically situated at the following address: 23 Ivy St, Jamestown, NY, 147018212.
What is Charles W Mistretta, Dpm, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles W Mistretta, Dpm, Pc is Foot Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811020571 to Charles W Mistretta, Dpm, Pc?
The Charles W Mistretta, Dpm, Pc received its 1811020571 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the details related to Charles W Mistretta, Dpm, Pc most recently updated or revised?
The information pertaining to Charles W Mistretta, Dpm, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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