Provider Demographics
NPI:1427188317
Name:SCOTT H. KAYE DPM PC
Entity Type:Organization
Organization Name:SCOTT H. KAYE DPM PC
Other - Org Name:SCOTT H. KAYE DPM INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MDDPM
Authorized Official - Phone:617-734-1414
Mailing Address - Street 1:1842 BEACON ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-1930
Mailing Address - Country:US
Mailing Address - Phone:617-734-1414
Mailing Address - Fax:617-734-0098
Practice Address - Street 1:1842 BEACON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-1930
Practice Address - Country:US
Practice Address - Phone:617-734-1414
Practice Address - Fax:617-734-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1671213E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9773886Medicaid
MA2700016OtherEVERCARE
MACA2745OtherPALMETTO GBA
MA717729OtherTUFTS
MAAA11526OtherHARVARD PILGRIM
MAY77143OtherBLUE CROSS
MAT57930Medicare UPIN
MA2700016OtherEVERCARE
MAAA11526OtherHARVARD PILGRIM