DR. RONALD SMALL D.P.M. P.C. NPI 1053368555

NPI Information

  • NPI: 1053368555
  • Provider Name: DR. RONALD SMALL, D.P.M., P.C.
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 104 W CHELTENHAM AVE
    PHILADELPHIA, PA
    ZIP 19120
  • Phone: (215) 924-2521

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NPI Details

DR. RONALD SMALL, D.P.M., P.C. is a foot surgery podiatrist in Philadelphia, PA. DR. RONALD SMALL, D.P.M., P.C. NPI is 1053368555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 W CHELTENHAM AVE
PHILADELPHIA, PA
ZIP 19120-027
Phone: (215) 924-2521
Fax: (215) 924-2367

The provider's authorized official is Ronald J Small .
The authorized official title is President and has the following contact phone number (215) 924-2521.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgerySC003322LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1119672MEDICARE PINPENNSYLVANIA
2T90995MEDICARE UPINPENNSYLVANIA
30011782190007MEDICAIDPENNSYLVANIA
4DG6865MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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