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| PM News | |
The Voice of Podiatrists
Serving Over 22,107 Subscribers Daily
February 25, 2025 #7,962  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management® https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2025- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL (SUBMITTED BY A PM NEWS SUBSCRIBER) |
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If someone refers to you as an MD, how often do you say, "I’m a DPM”? |
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| PODIATRISTS IN THE NEWS | |
Avoid "Garage Surgery" for Ingrown Toenails: MN Podiatrist
It can be tempting to try to unearth a corner of a toenail that has burrowed its way beneath your cuticle using clippers and brute force. Freeing the intruder yourself may seem like the fastest way to resolve the pain and swelling surrounding it—but Kaitlyn Laube Ward, DPM, a board-certified foot and ankle surgeon at Voyage Healthcare in Minnesota strongly advises against it.
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Dr. Kaitlyn Ward |
Performing “garage surgery,” as Dr. Ward puts it, will just make you more vulnerable to an infection. Rather than putting yourself through the trauma of self-surgery, seek out a pro—like your primary care doctor or even better, a podiatrist—if you have an ingrown toenail or any pain or puffiness that you suspect might indicate one. In the meantime, if you’re looking for some instant relief, Dr. Ward suggests a warm Epsom salt soak. Pour a cup of it into about a gallon of water in a tub or basin, and pop your feet in there for about 15 minutes to help alleviate some of the soreness.
Source: Erica Sloan, SELF [2/21/25]
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
PA Podiatrist Joins Lehigh Valley Orthopedic Institute
Bethlehem, PA.-based Lehigh Valley Orthopedic Institute is adding orthopedic and podiatric surgeon Christopher Bibbo, DO, DPM to its team in March. Dr. Bibbo will be responsible for spearheading Lehigh's foot and ankle division, serving as chief of the orthopedic institute’s foot and ankle division. Dr. Bibbo's background is unique; he has two medical degrees: a Doctorate of Osteopathic Medicine from the U.M.D.N.J./Rowan University School of Osteopathic Medicine and a Doctorate of Podiatric Medicine from the Temple University School of Podiatric Medicine.
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Dr. Christopher Bibbo |
Dr. Bibbo completed his orthopedic surgery residency at New Jersey Medical School (Rutgers New Jersey Medical School), followed by a Foot and Ankle fellowship at the Miller Orthopaedic Clinic/OrthoCarolina in Charlotte, North Carolina. Dr. Bibbo completed a second fellowship in Reconstructive Plastic & Microsurgery at the University of Pennsylvania.
Source: Claire Wallace, Becker's Spine Review [2/21/25]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
WE Podiatrists Receives Shining Star Award
Brian Rougeux, DPM, podiatrist at Marshfield Medical Center-Neillsville recently received a Shining Star for providing excellent care. A grateful parent wrote the following: “Dr. Rougeux saw our daughter on a Friday afternoon when she needed urgent attention.He made a difficult procedure as best possible and minimized her pain as much as he could. He was great!"
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Dr. Brian Rougeux |
Dr. Rougeux attended Temple University School of Podiatric Medicine in Philadelphia. He completed his residency in podiatric surgery at Swedish Medical Center in Seattle.
Source: CWB Radio [2/21/25]
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| PODIATRISTS IN ACADEMIA | |
CA Podiatrist Named USC Distinguished Professor
The Distinguished Professor title is awarded to those whose accomplishments have brought special renown to USC. David Armstrong is a professor of surgery and neurological surgery with tenure at USC. Armstrong holds a Master of Science degree in tissue repair and wound healing from the University of Wales College of Medicine and a doctorate from the University of Manchester College of Medicine, where he was appointed Visiting Professor of Medicine.
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Dr. David Armstrong |
Dr. Armstrong is founder and co-director of the Southwestern Academic Limb Salvage Alliance. He has produced more than 710 peer-reviewed research papers in dozens of scholarly medical journals as well as over 120 books or book chapters.
Source: Sara Hoffman, USC Today [2/21/25]
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's featured article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
6 Ways to Maintain a Healthy Online Presence for Your Practice
Here are some best practices for keeping your online presence up-to-date and effective.
1. Regularly Update Your Website
Make sure your website is always up-to-date with accurate information about your organization, the medical services you offer, and your contact details. Regularly add new content, such as blog posts or news updates that are relevant to your specialty. This will keep your website fresh and engaging.
Source: Anna Ohler, MBA, Physicians Practice [2/19/25]
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Shocked and Saddened
From: Mark Block, DPM
On February 21st, out of the blue, I, along with the APMA membership, was informed of significant changes within the Association. It appears that APMA has decided to undergo a major restructuring.
Having been a long-standing member since my time as a student, I recognize that while other podiatric entities contribute meaningfully to our profession, APMA along with other missions serve as a unifying voice. Its ability to lobby and advance legislative initiatives is essential to the profession’s strength and future. I have come to appreciate that the Association’s long-term viability must be ensured. Should APMA cease to exist, it would leave a tremendous void with serious negative ramifications...
Editor's note: Dr. Block's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) -- PART 2 | |
RE: Source for Injectable Alcohol
From: Louis Cappa, DPM
I found a compounding pharmacy that sells injectable alcohol for neuromas...Compounded Solutions in pharmacy in Monroe, CT
Louis Cappa, DPM, New Windsor, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: Rod Tomczak, DPM, MD, EdD
There are now 37 osteopathic schools in the United States, meaning more seats. There are 158 MD schools in the U.S. which are not increasing in numbers or seats. LCME and AAMC limit the number of seats at each medical school and there is no increase in the foreseeable future. Acceptance to a Caribbean medical school is a given, but passing USMLE is a crap shoot. DOs take the same USMLE licensing exams as MDs and match into historically allopathic residencies.
The difficult part of the plan will be extending the DPM residency funding to include DOs with a one-year general internship that has been allocated for DPMs. If, however, there are no DPMs, or only a few pure DPMs, there will be money available. Remember, the new DO foot and ankle provider must learn everything about the foot and ankle in two years of residency training. Foot and ankle orthopedic fellows do it in one year.
It will be easier for a future non-DPM foot care specialist to get accepted into a DO school. I take umbrage with the conceptualization of DOs as intrinsically different than MDs. DOs and MDs use the same textbooks and take the same USMLE exam for licensing and match into the same residencies. Some MD schools are combined with a DO school. How many strict DO hospitals are you aware of? Historically, DOs had to serve a one-year internship in a DO hospital to gain privileges at a DO hospital. That concept went the way of the lamplighter, milkman, and DO hospital. I see these foot care specialists being certified by a single board titled something like the American Board of Foot and Ankle Medical Specialties. All the other certifications will be superfluous and obsolete. Time to come together.
Rod Tomczak, DPM, MD, EdD, Columbus, OH
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OMG!! 2025 IS ACTUALLY HERE!!
The New, Exclusive, More Inclusive 2025 Podiatry Coding Manual
From Michael G. Warshaw, DPM, CPC is available immediately!!
It is fully updated! It contains ALL of the most up-to-date information to aid in coding and billing for appropriate reimbursement and documentation to support what was billed . You will again see why so many podiatry offices across the country refer to this book as their “Bible” when it comes to billing, coding, and documentation.
Still Only $125 including shipping!!!
Available in Book, Flash Drive, and CD Formats
No credit card? No problem. Just mail a check or money order to:
Michael Warshaw, DPM, CPC, 2027 Bayside Ave, Mount Dora, FL 32757
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 4 | |
RE: Redefining Roles in Podiatric Care: Exploring the Potential for a Standardized Foot Care Assistant Model
From: James H Whelan, DPM
The landscape of foot and ankle care is evolving. With an aging population, a growing number of patients with diabetes, and shifts in podiatric training emphasizing surgical intervention, there is an increasing need to ensure continued access to high-quality foot care while reinforcing the role of podiatric physicians as the foremost experts in foot and ankle health. A topic of growing discussion within the profession is the expansion of routine foot care services provided by non-podiatric healthcare professionals. While this raises concerns about scope of practice, it also presents an opportunity to explore structured, podiatrist-led models that enhance patient care and optimize the efficiency of podiatric practices.
One potential solution is for professional organizations such as APMA and ACFAS to evaluate the feasibility of developing a standardized Foot Care Assistant (FCA) role—a structured position within podiatric practices that allows trained professionals to...
Editor's note: Dr. Whelan's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Not your quintessential "walking" shoe |
Source: Gary Greenwood via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $299 (NOTE: TOKENS EXPIRE 12/31/2027)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
PRACTICE FOR SALE - KLAMATH FALLS, OREGON
City of Sunshine. 4 days/week & 70 patients/week. No ER Call. Practice established 25+ years. Practice Fusion EHR, digital x-ray, two exam rooms, general podiatry, surgery, wound care. Asking $50,000. $375,000 gross annually. Take home pay 50% of gross. Option for building purchase. Contact: klamathfallsfootandankle@gmail.com
PRACTICE FOR SALE - BROCKTON, MASSACHUSETTS
Busy, modern and successful. 80 new patients/ month and totaling 6500K visits/year. 2150 sq.ft. Established 1985. Near hospitals, surgery and wound care center. Digital x-ray, certified EHR, laser. DMEs, inhouse billing. Accepting all insurances. Great opportunity and growth potential. Owner is willing to stay as long as necessary. Contact drwaw54@aol.com
WELL ESTABLISHED OFFICE & PRACTICE FOR SALE - MANHATTAN
The practice is located in the Gramercy neighborhood with a private street level entrance with a garden. It is unique to Manhattan due to its low maintenance. It is a well-equipped office with state-of-the-art exam rooms, new exam chairs/beds and digital x-ray imaging. Includes a waiting room, reception area, one large office, 2 exam rooms, 2 restrooms, and a kitchenette. Well-established and busy and conveniently located close to many prominent New York hospitals. The building has a doorman, live-in super, and on-site laundry. It is close to some of the best restaurants in New York and is close to all public transportation. cgasparidpm@gmail.com
THRIVING PODIATRY PRACTICE IN OKLAHOMA CITY FOR SALE!
$500K gross revenue with $900K potential. Located in a brand-new building with state-of-the-art equipment. Features 4 spacious treatment rooms and space for a surgical suite. Perfect for growth-minded professionals ready to step into a lucrative, turnkey opportunity. Holly@burkmanconsulting.com
PRACTICE FOR SALE – GEORGIA SOUTH
A longstanding 30-year established practice in GA-South is available for sale, grossing over $500K with minimal overhead and no direct competition. There is significant growth potential within the practice for a motivated buyer. The practice has access to a hospital, facilitating comprehensive patient care. The retiring owner will assist with the transition process. Serious inquiries are welcome; for further details, please contact MCrosby518@gmail.com
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
2 INDEPENDENT FELLOWSHIPS AVAILABLE JULY 2025. 12 MONTHS
Includes 2 nerve training courses and direct mentoring. * ATLANTA, GA Focused on Lower Extremity Nerve Surgery, diagnostics & business practices. Contact: sducasse.dpm@gmail.com. *FT. COLLINS, CO - Focus on Lower Extremity Nerve Surgery and general Reconstructive procedures. Contact: janderson@andersonpodiatrycenter.com Additional contact/reference, info@aens.us
UAB ADVANCED PODIATRIC LIMB SALVAGE AND RECONSTRUCTION FELLOWSHIP – BIRMINGHAM
Be our inaugural fellow! Brand new 12-month fellowship, located at the University of Alabama at Birmingham. Begins August 2025. Train with experts in podiatric surgery, vascular therapy, and infectious diseases. Contact for more information or send your CV to podiatricsurgery@uabmc.edu
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship, located at St. John's Episcopal Hospital in Queens, New York. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com. EOE employer.
POSITION WANTED AD
I'm interested in a non-surgical position involving nursing homes/house calls. Benefits would be appreciated. I am open to also covering ingrown nails, orthotics, injections, etc. tmukherj@kent.edu
ASSOCIATE POSITION – FLORIDA
PODIATRIST OPPORTUNITY IN DFW!
Join our successful, nationally known, podiatry practice featuring advanced technology like laser treatments, digital x-rays, and diagnostic ultrasound, alongside ancillary services including a shoe store and on-site physical therapy. We are looking for a highly motivated, skilled podiatrist proficient in surgery, sports medicine, and biomechanics. Our clinics are in Grapevine and Keller, Texas, in the heart of the DFW metroplex. Send CV to paul.steinke1@gmail.com Compensation: Base salary plus production bonus.
ASSOCIATE POSITION – MARYLAND
Multi office podiatry practice in Baltimore Maryland. Desired candidate should be surgically trained with Board Eligible/Certification, hardworking, ethical, compassionate and confident in their abilities to deal with pathology, patients, staff and fellow physicians. Competitive base/bonus structure and benefits. Please forward a cover letter, resume and availability to MarylandFootDoc@Gmail.com
ASSOCIATE POSITION - NORTHERN VIRGINIA
Seeking a well-trained physician to join a multi-office practice in northern Virginia. Good variety of pathology with multiple hospital and surgery center affiliations. Competitive salary and benefits package. If interested, please email resume to: krpsgold@cox.net
FULL TIME PODIATRIST - NEW JERSEY
Established Podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Benefits include: competitive six-figure compensation ranging from $155,000-$250,000, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and 401(k) plan. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – VIRGINIA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. There is a 1000 dollar sign on bonus. Please respond to: DrBreiner@AOL.com
ASSOCIATE POSITION - FULL TIME - NYC
Well established practice. Competitive salary plus bonus structure. Group practice. Hospital and Residency program affiliated. Send CV to : Podiatryassoociate930@gmail.com
ASSOCIATE POSITIONS – AL, GA, KS, LA, MO, MS, & TN
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION - WESTERN NEW YORK
Multi-office practice in picturesque Chautauqua County (South of Buffalo, NY) seeks full-time, 3-year residency trained Associate to join our growing practice. All aspects of care. Base salary $150,000 plus bonus, 401k, and CME. Send resume to JHS.Podiatry@gmail.com
ASSOCIATE POSITION - BROOKLYN, NY
A group podiatry practice in Brooklyn and Queens is looking to hire a full time podiatrist with excellent compensation with excellent growth potential. Must be motivated, and hardworking. Send CV to Footcareemployment@gmail.com
ASSOCIATE POSITION – FLORIDA
PT to possible FT mobile positions in Tampa, JAX, and other cities for responsible DPM team players. Primarily home visits and ALF/ILF's. No call. No ER. Flexible 9-5. Weekends optional. Generous commission salary. Great for new grads, semi-retired, or those looking to help fill their schedule. Serious applicants email contact@PodiatristAtHome.com
ASSOCIATE POSITION - UPSTATE NY
Three office/ four provider group seeks engaging BQ/BC podiatrist to replace retiring provider. Position has established patient flow of 500 encounters/month. No SNF/unwanted call. 150,000 base salary plus bonus, Health & Malpractice insurance, PTO, 401k. Salary w/bonus range to 330k. Text CV to (607)742-7802.
PODIATRIST OPPORTUNITY IN DFW!
Join our successful, nationally known, podiatry practice featuring advanced technology like laser treatments, digital x-rays, and diagnostic ultrasound, alongside ancillary services including a shoe store and on-site physical therapy. We are looking for a highly motivated, skilled podiatrist proficient in surgery, sports medicine, and biomechanics. Our clinics are in Grapevine and Keller, Texas, in the heart of the DFW metroplex. Send CV to paul.steinke1@gmail.com Compensation: Base salary plus production bonus.
ASSOCIATE POSITION – MARYLAND
Multi office podiatry practice in Baltimore Maryland. Desired candidate should be surgically trained with Board Eligible/Certification, hardworking, ethical, compassionate and confident in their abilities to deal with pathology, patients, staff and fellow physicians. Competitive base/bonus structure and benefits. Please forward a cover letter, resume and availability to MarylandFootDoc@Gmail.com
ASSOCIATE POSITION - NORTHERN VIRGINIA
Seeking a well-trained physician to join a multi-office practice in northern Virginia. Good variety of pathology with multiple hospital and surgery center affiliations. Competitive salary and benefits package. If interested, please email resume to: krpsgold@cox.net
ASSOCIATE POSITION - SALINAS, CA
Seeking a skilled Podiatrist specializing in Wound Care and Diabetic Limb Salvage for our Salinas, CA medical team. The ideal candidate will possess expertise in preventing diabetic foot complications and limb salvage techniques. We offer a competitive annual salary of $250,000 to $300,000, including bonus opportunities, healthcare, paid malpractice insurance, and 401k. Relocation required to Salinas, Watsonville, or Monterey area. The role demands collaborative work in a multidisciplinary team, focusing on advanced wound care and surgical interventions. Interested professionals email drabdoo@svfootankle.com with diabetic foot care experience.
ASSOCIATE POSITION – OHIO
Ohio Foot & Ankle Specialists, the largest podiatry group in Ohio, is hiring full- and part-time podiatrists in Columbus, Toledo, and Cincinnati! Why join us? • Competitive compensation • Collaborative environment with specialist support • Strong patient base and support staff • Uncapped income potential. We’re seeking passionate podiatrists dedicated to improving patient health. Take the next step in your career with our well-established practice! Apply now! www.ohiofootspecialists.com binkrott@stateragrowth.com
ASSOCIATE POSITION – NV, IL, WI
Full-time position with established practice in Las Vegas. Competitive compensation and benefits. Also, wound care podiatrist wanted in Milwaukee and Chicago areas. Text (847) 830-7378. E-mail CV to citadeljones@gmail.com
ASSOCIATE POSITION - RALEIGH, NORTH CAROLINA
Awesome opportunity to join a well-rounded, growing, podiatry practice in Raleigh, NC. We are looking for an associate who is hardworking part time/full time. Working with awesome office staff, EMR, and latest technology. Competitive salary and incentives. NC license is a must. Please send contact info and CV to iiicmstewart@aol.com or call 252-813-3136.
ASSOCIATE POSITION OPEN IN DALLAS/FORT WORTH AREA
Join our dynamic multi-specialty group, spanning 6 locations in DFW, equipped with cutting-edge technology, physical therapy and an established patient base. Our practice also includes a surgery center. We offer a competitive starting salary with bonus and benefits. Send your CV to Cnunez1940@gmail.com
FULL-TIME POSITION – CENTRAL NY
Bassett Healthcare Network, a progressive, academic health system in central New York, major teaching affiliate of Columbia University, is seeking a podiatric surgeon to join our staff. Bassett Healthcare Network is an integrated healthcare system that provides care and service to people living in an eight-county region covering 5,600 square miles in Central New York. Rotational On-Call expectations will be required • 180 Bed Primary Hospital with Level III Trauma Center • Instant Referral Base provided by over 300 Primary Care Clinicians • Salary Range: $180,000 - $260,000. For confidential consideration, please contact: Ashley Camarata, Medical Staff Recruiter 607-547-6982 Ashley.camarata@bassett.org
NOW HIRING: MOBILE PODIATRIST – NEW JERSEY
Join our well-established and fast-growing house-call podiatry practice! Provide in-home care to patients at home and facilities across NJ with a flexible schedule and competitive pay. We handle the admin – you focus on patient care! Interested? Send your resume to Lana.Raginsky@homefootcareservices.com
MOBILE PODIATRIST - SAN DIEGO
Now hiring at www.barefeet-podiatry.com. Offering highly competitive compensation as an independent-contractor, flexible schedule, assistants handling administrative work. Cloud-based EHR, equipment/supplies provided, other benefits. 2025 graduates welcome. Email: barefeetpodiatry1@gmail.com
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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RE: (Topic)
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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