DR. RONALD J SMALL (NPI# 1174500722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174500722 |
| Entity Type | Individual |
| Full Name | DR. RONALD J SMALL |
| Credential | DPM |
| Practice Address |
104 W Cheltenham Ave Philadelphia PA 19120-1027 |
| Practice Telephone | 2159242521 |
| Practice Fax Number | 2159242367 |
| Mailing Telephone | 2159242521 |
| Mailing Fax Number | 2159242367 |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC003322L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011782190007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194058313 | Ronald Phillip Small | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 316 Main St, Corinth, ME 04427-3031 | 2009-09-08 |
| Street Address |
104 W CHELTENHAM AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053368555 | Dr. Ronald Small, D.p.m., P.C. | Podiatrist | 104 W Cheltenham Ave, Philadelphia, PA 19120-1027 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720270663 | Barbara A Rosenberg | Podiatrist | 6341 Sylvester St, Philadelphia, PA 19149-2837 | 2007-08-14 |
| 1235186586 | Anne Sonoga | Podiatrist | Dvamc Philadelphia, University & Woodland Avenue, Philadelphia, PA 19104 | 2006-05-30 |
| 1255334439 | Richard Rettig | Podiatrist | 1335 W Tabor Rd, Ste 206, Philadelphia, PA 19141-3040 | 2005-05-23 |
| 1780066431 | Faramarz Fanaian | Podiatrist | 1304 Rhawn St, Philadelphia, PA 19111-2870 | 2015-06-18 |
| 1174739940 | Northeast Family Foot Care, PC | Podiatrist | 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | 2007-05-16 |
| 1912080722 | Donna Goelzer Myers | Podiatrist | 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | 2006-10-23 |
| 1255349031 | Karen Galli | Podiatrist | 3900 Woodland Ave, Podiatry (112), Philadelphia, PA 19104-4551 | 2006-08-04 |
| 1851316756 | Susan Gamble | Podiatrist | Dvamc Philadelphia, University and Woodland Avenues, Philadelphia, PA 19104 | 2006-07-12 |
| 1679504443 | Leonard Menaker | Podiatrist | 2401 Pennsylvania Ave, Suite#1d5, Philadelphia, PA 19130-3010 | 2006-07-06 |
| 1053368555 | Dr. Ronald Small, D.p.m., P.C. | Podiatrist | 104 W Cheltenham Ave, Philadelphia, PA 19120-1027 | 2006-05-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
Please comment or provide details below to improve the information on DR. RONALD J SMALL.
| 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.