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WESTERN PA FOOT AND ANKLE CENTER NPI 1154496891


NPI Information

NPI: 1154496891
Provider Name: WESTERN PA FOOT AND ANKLE CENTER
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1789 S BRADDOCK AVE
SUITE 365
PITTSBURGH, PA
ZIP 15218
Phone: (412) 371-9330
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WESTERN PA FOOT AND ANKLE CENTER is a primary podiatric medicine podiatrist in Pittsburgh, PA. WESTERN PA FOOT AND ANKLE CENTER NPI is 1154496891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1789 S BRADDOCK AVE
SUITE 365
PITTSBURGH, PA
ZIP 15218-842
Phone: (412) 371-9330
Fax: (412) 371-8167

The provider's authorized official is Colleen A Boyle .
The authorized official title is Owner and has the following contact phone number (412) 371-9330.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 6/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineSC003826LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10014743320004MEDICAIDPENNSYLVANIA
2162283MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3U50595MEDICARE UPINPENNSYLVANIA

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: 11/14/2023

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