OSWEGO COUNTY PODIATRY PC NPI 1811039290

Podiatrist in Fulton, NY

NPI 1811039290 Organization Podiatrist

NPI Profile for OSWEGO COUNTY PODIATRY PC

Oswego County Podiatry Pc is a provider established in Fulton, New York specializing in podiatrist. The NPI number of Oswego County Podiatry Pc is 1811039290 and was assigned on February 2007. The practitioner's primary taxonomy code is 213E00000X with license number N3230 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. Oswego County Podiatry Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Marc A Grosack Dpm (Partner)

A podiatrist like Oswego County Podiatry Pc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

NPI

1811039290

Provider NameOSWEGO COUNTY PODIATRY PC
Provider Location Address178 S 1ST ST FULTON, NY 13069
Provider Mailing Address178 S 1ST ST FULTON, NY 13069
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-13-2007
Last Update Date02-29-2008


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.N3230
License StateNY
Taxonomy DescriptionA 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.

Business Address

OSWEGO COUNTY PODIATRY PC
178 S 1ST ST
FULTON, NY
ZIP 13069
Phone: (315) 593-3971
Fax: (315) 592-5132

Get Directions


Mailing Address

OSWEGO COUNTY PODIATRY PC
178 S 1ST ST
FULTON, NY
ZIP 13069
Phone: (315) 593-3971
Fax: (315) 592-5132



Authorized Official

Authorized Official Name MARC A GROSACK DPM
Authorized Official TitlePARTNER
Authorized Official Phone(315) 593-3971

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristN2906NYNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
56803AMEDICARE PIN (08)NY
4054410002MEDICARE NSC (07)NY
56802CMEDICARE PIN (08)NY
56801AMEDICARE PIN (08)NY
56802AMEDICARE PIN (08)NY
RB3753MEDICARE PIN (08)NY
4054410001MEDICARE NSC (07)NY

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811039290
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28210318218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 0 + 3 + 1 + 8 + 2 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1811039290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Oswego County Podiatry Pc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.