CENTRAL PA PODIATRY LLC NPI 1841887494

NPI Information

  • NPI: 1841887494
  • Provider Name: CENTRAL PA PODIATRY LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 914 S 12TH ST
    ALTOONA, PA
    ZIP 16602
  • Phone: (814) 201-2309

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NPI Details

CENTRAL PA PODIATRY LLC is a podiatrist in Altoona, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CENTRAL PA PODIATRY LLC NPI is 1841887494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 S 12TH ST
ALTOONA, PA
ZIP 16602-247
Phone: (814) 201-2309
Fax: (814) 201-2389

The provider's authorized official is Denise Baranik .
The authorized official title is Practice Manager and has the following contact phone number (814) 201-2309.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.

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
1213E00000XPodiatristYes

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
11902884950OTHERPENNSYLVANIADR. GERALD GRONBORG
21029762890001MEDICAIDPENNSYLVANIA
31487632428OTHERPENNSYLVANIADR. DONALD MRDJENOVICH

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: 11/21/2025

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