Provider Type Icon

FOOT AND ANKLE CENTER OF PHILADELPHIA LLC NPI 1639258916


NPI Information

NPI: 1639258916
Provider Name: FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
235 N BROAD ST
SUITE 300
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 568-3510
Get Directions

FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC is a foot and ankle surgery podiatrist in Philadelphia, PA. FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC NPI is 1639258916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 N BROAD ST
SUITE 300
PHILADELPHIA, PA
ZIP 19107-511
Phone: (215) 568-3510
Fax: (215) 568-3529

The provider's authorized official is Steven F Boc .
The authorized official title is Owner and has the following contact phone number (215) 568-3510.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 4/5/2010.


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
1153969MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2T29711MEDICARE UPIN
36323040001MEDICARE NSCPENNSYLVANIA
40978058MEDICAIDPENNSYLVANIA
5110906MEDICARE 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: 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.