SANDY RIVER PODIATRY, PA
NPI 1336367416
Podiatrist in Farmington, ME

Q: What is Sandy River Podiatry, PA's NPI number?

The NPI number for Sandy River Podiatry, PA is 1336367416. It was assigned to this organization in the NPPES registry on April 23, 2007.

Q: What is Sandy River Podiatry, PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since April 23, 2007

114 PERHAM ST, FARMINGTON, ME 04938(207) 779-1002(207) 779-1091 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sandy River Podiatry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDY RIVER PODIATRY, PA (NPI 1336367416) is a healthcare organization registered as a podiatrist in Farmington, Maine and active in the NPI registry since April 2007. The organization lists Jeffrey Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336367416

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSANDY RIVER PODIATRY, PA

Location Address114 PERHAM STFarmington, ME 04938-1520

Mailing Address114 Perham StFarmington, ME 04938-1520 · (207) 779-1002 · Fax (207) 779-1091

Phone(207) 779-1002

Fax(207) 779-1091

Organization SubpartNo

Authorized OfficialJeffrey JohnsonOwner · (207) 779-1002

Enumeration DateApril 23, 2007

Last NPPES UpdateSeptember 16, 2009

✔ NPI 1336367416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in ME · POD1034

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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

114 PERHAM ST, Farmington, ME 04938

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Other Identifiers 3

Medicaid134880000ME

Medicare ID-Type UnspecifiedME1822ME

Medicare UPINU20652ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy River Podiatry, PA's NPI number?

The NPI number for Sandy River Podiatry, PA is 1336367416. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Sandy River Podiatry, PA located?

Sandy River Podiatry, PA is located at 114 Perham St, Farmington, ME 04938. The listed phone number is (207) 779-1002.

What is Sandy River Podiatry, PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Sandy River Podiatry, PA was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.