ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP PC NPI 1346505666

NPI Information

  • NPI: 1346505666
  • Provider Name: ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 254 LANCASTER AVE
    MALVERN, PA
    ZIP 19355
  • Phone: (610) 644-7755

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NPI Details

ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC is a foot and ankle surgery podiatrist in Malvern, PA. ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC NPI is 1346505666. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

254 LANCASTER AVE
MALVERN, PA
ZIP 19355-087
Phone: (610) 644-7755
Fax: (610) 644-8290

The provider's authorized official is Roberta K Mainiero .
The authorized official title is Practice Administrator and has the following contact phone number (610) 644-7755.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/12/2012.

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
1213E00000XPodiatristNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

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
1017799MEDICARE 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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