Medical Center West Podiatry Associates, Inc. in Rutland - Primary Podiatric Medicine

Medical Center West Podiatry Associates, Inc. - NPI 1821185455

Medical Center West Podiatry Associates, Inc. is a Primary Podiatric Medicine in Rutland, Massachusetts. Medical Center West Podiatry Associates, Inc. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Medical Center West Podiatry Associates, Inc. is 1821185455. The last update date is 2008-03-25.

Medical Center West Podiatry Associates, Inc.'s current location address is 126 Bushy Ln, Rutland, Massachusetts. You can contact this provider via phone number 5088866280. The mailing address for Medical Center West Podiatry Associates, Inc. is 126 Bushy Ln, Rutland, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Center West Podiatry Associates, Inc.
Address 126 Bushy Ln, Rutland, Massachusetts
Phone Number 5088866280
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ketchum F. Jonathan
Credentials D.P.M.
Telephone Number 5087559573

NPI Number Detail

NPI Number 1821185455
Provider Enumeration Date 2006-10-06
Last Updated Date 2008-03-25

Provider Mailing Address Detail

Address 126 Bushy Ln
City Rutland
State Massachusetts (MA)
Post Code 15432025
Phone Number 5088866280
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 2087
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
719907 MA TUFTS HEALTH PLAN
W201440 MA CIGNA
Y77039 MA BLUE SHEILD OF MA
9719067 MA --

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FAQs about Medical Center West Podiatry Associates, Inc.

What is the unique identification code assigned to Medical Center West Podiatry Associates, Inc. by the Centers for Medicare & Medicaid Services?

The Medical Center West Podiatry Associates, Inc. has been issued the NPI (National Provider Identifier) 1821185455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Medical Center West Podiatry Associates, Inc.'s facilities are geographically located?

The facilities of Medical Center West Podiatry Associates, Inc. are physically situated at the following location: 126 Bushy Ln, Rutland, MA, 15432025.

What is the area of specialization for Medical Center West Podiatry Associates, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Medical Center West Podiatry Associates, Inc. is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.

When did the Medical Center West Podiatry Associates, Inc. receive its 1821185455?

The Medical Center West Podiatry Associates, Inc. was issued its 1821185455 on 2006-10-06, which is the date when the organization was assigned this unique identifier.

When was the information regarding Medical Center West Podiatry Associates, Inc. most recently updated?

The details pertaining to the Medical Center West Podiatry Associates, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-03-25.

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