| Auburn Podiatry Llp | |
| 
					48 Auburn St, Auburn, MA 01501-2438  | |
| (508) 832-6075 | |
| (508) 832-9964 | 
| Full Name | Auburn Podiatry Llp | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 48 Auburn St, Auburn, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104933209 | NPI | - | NPPES | 
| 642676 | Other | MA | TUFTS GROUP VENDOR NUMBER | 
| Y77343 | Other | MA | BS GROUP NUMBER | 
| 9749730 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary | 
| Provider Name | Georgios P Poniros | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1083671077 PECOS PAC ID: 5597723866 Enrollment ID: I20050105000696  | 
| Provider Name | Maria Bolla | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1992236244 PECOS PAC ID: 7113298936 Enrollment ID: I20201001001093  | 
| Provider Name | Najwah S Hayman | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1972024255 PECOS PAC ID: 1355740630 Enrollment ID: I20210519002227  | 
| Provider Name | Anna Kakizaki | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1942839170 PECOS PAC ID: 6507228665 Enrollment ID: I20230822001279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Auburn Podiatry Llp 48 Auburn St, Auburn, MA 01501-2438 Ph: (508) 832-6075  | Auburn Podiatry Llp 48 Auburn St, Auburn, MA 01501-2438 Ph: (508) 832-6075  | 
Georgios P Poniros, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 48 Auburn St, Auburn Podiatry Llp, Auburn, MA 01501 Phone: 508-832-6075 Fax: 508-832-9964  | |
Patricia Mary Sullivan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 48 Auburn St, Auburn Podiatry Llp, Auburn, MA 01501 Phone: 508-832-6075 Fax: 508-832-9964  | |
Anna Kakizaki,  Podiatrist Medicare: Medicare Enrolled Practice Location: 492 Washington St, Auburn, MA 01501 Phone: 508-832-6075  |