MEDICARE: FIRST STEP PODIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1336002443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST STEP PODIATRY PLLC

Provider Business Mailing Address
First Line	:	330 BORTHWICK AVE STE 201
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4102
Country	:	US
Telephone Number	:	603-416-3119
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BORTHWICK AVE STE 201
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4115
Country	:	US
Telephone Number	:	603-416-3119
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CATHRINE A STARK
Credential	:	DPM
Telephone Number	:	603-416-3119

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	05/28/2026

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