Provider Demographics
NPI:1194805846
Name:PORTSMOUTH FOOT AND ANKLE, PLLC
Entity type:Organization
Organization Name:PORTSMOUTH FOOT AND ANKLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SARTORI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-431-6070
Mailing Address - Street 1:14 MANCHESTER SQ
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7866
Mailing Address - Country:US
Mailing Address - Phone:603-431-6070
Mailing Address - Fax:603-766-0612
Practice Address - Street 1:14 MANCHESTER SQ
Practice Address - Street 2:SUITE 250
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7866
Practice Address - Country:US
Practice Address - Phone:603-431-6070
Practice Address - Fax:603-766-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0301213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE6800Medicare ID - Type UnspecifiedMEDICARE#
NH5929400001Medicare NSC
NHU91015Medicare UPIN