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KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC NPI 1376608430


NPI Information

NPI: 1376608430
Provider Name: KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5001 LOUISE DR
SUITE 104
MECHANICSBURG, PA
ZIP 17055
Phone: (717) 458-5611
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KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC is a foot and ankle surgery podiatrist in Mechanicsburg, PA. KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC NPI is 1376608430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5001 LOUISE DR
SUITE 104
MECHANICSBURG, PA
ZIP 17055-912
Phone: (717) 458-5611
Fax: (717) 590-5938

The provider's authorized official is Richard Allen Rogers .
The authorized official title is President Corporation and has the following contact phone number (717) 677-9288.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 1/6/2015.


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
1213ES0103XPodiatristFoot & 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T29391MEDICARE UPINPENNSYLVANIA
21149270002MEDICARE NSCPENNSYLVANIA
30016004560013MEDICAIDPENNSYLVANIA
4888468MEDICARE PINPENNSYLVANIA
5T27688MEDICARE UPINPENNSYLVANIA
6T72736MEDICARE UPINPENNSYLVANIA
7V00289MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.