THAT FOOT DOCTOR, LLC


Address: 1251 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6205
Phone: 6108413535

THAT FOOT DOCTOR, LLC (NPI# 1134566292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134566292
Entity Type Organization
Organization Name THAT FOOT DOCTOR, LLC
Practice Address 1251 S Cedar Crest Blvd
Ste 301
Allentown
PA 18103-6205
Practice Telephone 6108413535
Mailing Telephone 6108413535
Enumeration Date 2013-05-30
Last Update Date 2015-02-16
Authorized Official Name DR. MICHELLE MCCARROLL (PHYSICIAN)
Authorized Official Telephone 6108413535
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP1100X Clinic/Center
Specialization: Podiatric
SC003851-L PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 15259880401 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730503723 That Foot Doctor, LLC Podiatrist 1251 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6205 2014-02-11

Office Location

Street Address 1251 S CEDAR CREST BLVD
STE 301
City ALLENTOWN
State PA
Zip Code 18103-6205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091570 John David Karabasz Dentist 1251 S Cedar Crest Blvd, Ste 306, Allentown, PA 18103-6205 2005-05-24
1881133171 Alicia Coffman Counselor 1251 S Cedar Crest Blvd, 211d, Allentown, PA 18103-6205 2017-02-20
1467807818 Julia Anne West Psychologist 1251 S Cedar Crest Blvd, Suite 211d, Allentown, PA 18103-6205 2016-05-03
1538532932 Lee&zhao Acupuncture Pllc Acupuncturist 1251 S Cedar Crest Blvd, Allentown, PA 18103-6205 2015-11-06
1154798072 Scott Frey Dds PC Dentist 1251 S Cedar Crest Blvd, Suite 210, Allentown, PA 18103-6205 2015-08-26
1700265766 Dane Brittan Kyle Dentist 1251 S Cedar Crest Blvd, Suite 207-c, Allentown, PA 18103-6205 2015-05-23
1639557663 Nicole Freemont Audiologist-Hearing Aid Fitter 1251 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6205 2015-05-11
1255726477 Sunghee Lee Acupuncturist 1251 S Cedar Crest Blvd, Building 1251, Suite 110a, Allentown, PA 18103-6205 2015-04-03
1194118216 Lysslex, Inc. Home Health 1251 S Cedar Crest Blvd, Suite 209, Allentown, PA 18103-6205 2015-03-13
1730503723 That Foot Doctor, LLC Podiatrist 1251 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6205 2014-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376156752 Syed Ali Aown Internal Medicine 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 2020-08-26
1558980169 Shelley M. Spence Occupational Therapist 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 2020-04-14
1386133791 Hanger Prosthetics & Orthotics East Inc Durable Medical Equipment & Medical Supplies 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 2018-05-02
1366939555 St. Luke's Physician Group, Inc. Family Medicine 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 2018-04-13
1942701008 Bradford Young Family & Cosmetic Dentistry Dentist 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 2018-02-23
1598275281 Lorillie Soleta Nurse Practitioner Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 2017-10-06
1538681457 Rahul Gupta Internal Medicine Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 2017-07-12
1669992962 Aaron Michael Roman Audiologist 1210 S. Cedar Crest Blvd., Allentown, PA 18103 2017-06-27
1134658404 Gyujae Choi Internal Medicine 1200 S. Cedar Crest Blvd., Allentown, PA 18103 2017-06-08
1255713731 Firely Home for Kids Skilled Nursing Facility 2402 Sunshine Rd, Allentown, PA 18103 2015-06-22
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Taxonomy Information

Taxonomy Code 261QP1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Podiatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427663632 Julia-heya Karcic Dpm LLC Clinic/Center 1611 Peach St Ste 290, Erie, PA 16501-2126 2020-09-14
1295354520 Horsham Foot and Ankle Clinic/Center 499 Horsham Rd Ste C, Horsham, PA 19044-2070 2020-04-16
1417447335 Foot and Ankle Specialists of The Mid-atlantic, LLC Clinic/Center 50 Eastern Ave Ste 122, Greencastle, PA 17225-1100 2018-05-16
1588179568 Lawrence D Kassan Clinic/Center 3458 Cottman Ave, Philadelphia, PA 19149-1604 2017-12-12
1376951301 Forrester Foot and Ankle LLC Clinic/Center 5232 W Columbia Ave, Philadelphia, PA 19131-3640 2014-07-22
1194083790 John J Degovann Dpm PC Clinic/Center 5735 Ridge Ave Ste 203, Philadelphia, PA 19128-1747 2012-05-02
1346214947 Foot and Ankle Surgical Center LLC Clinic/Center 1224 S Queen St, York, PA 17403-3923 2006-02-13
1821095480 Cherry Tree Foot and Ankle Specialists, PC Clinic/Center 798 Cherry Tree Ct, Hanover, PA 17331-7901 2005-06-28
1659994283 Sewickley Foot and Ankle, PC Clinic/Center 1099 Ohio River Blvd, Sewickley, PA 15143-2056 2020-05-18
1811463193 Jcbdpm P.l.l.c. Clinic/Center 2404 Bristol Rd, Bensalem, PA 19020-6002 2018-10-15
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Competitor

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City ALLENTOWN
Zip Code 18103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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