INDIAN VALLEY PODIATRY ASSOCIATES, P.C. (NPI# 1245389758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245389758 |
| Entity Type | Organization |
| Organization Name | INDIAN VALLEY PODIATRY ASSOCIATES, P.C. |
| Practice Address |
601 E Broad St Suite 220 Souderton PA 18964-1263 |
| Practice Telephone | 2157239688 |
| Practice Fax Number | 2157233310 |
| Mailing Telephone | 2157239688 |
| Mailing Fax Number | 2157233310 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. PHILIP J BRESNAHAN (OWNER) |
| Authorized Official Telephone | 2157239688 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC002825L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1072185 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346763182 | Indian Valley Podiatry Associates, P.C. | Non-Pharmacy Dispensing Site | 601 E Broad St Ste 220, Souderton, PA 18964-1263 | 2017-07-24 |
| Street Address |
601 E BROAD ST SUITE 220 |
| City | SOUDERTON |
| State | PA |
| Zip Code | 18964-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568625010 | Michelle Danielle Morrissey | Podiatrist | 601 E Broad St, Souderton, PA 18964-1263 | 2008-07-04 |
| 1760558894 | Marc F. Lipkin, Dmd, PC | Dentist | 601 E Broad St, Suite #200, Souderton, PA 18964-1263 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932678406 | James Edward Smith | Physical Therapist | 723 Pa-113 #6, Souderton, PA 18964 | 2018-11-14 |
| 1215436001 | Holcomb Associates, Inc. | Clinic/Center | 139 Harleysville Pike, Souderton, PA 18964 | 2018-02-07 |
| 1013416098 | Holcomb Associates, Inc. | Clinic/Center | 625 Lower Road, Souderton, PA 18964 | 2018-02-06 |
| 1679018733 | New Hope Sports Chiropractic and Wellness LLC | Chiropractor | 327 Mifflin St, Souderton, PA 18964 | 2016-12-28 |
| 1346484540 | Maria M Gilday | Nutritionist | 707 Route 113, Souderton, PA 18964 | 2009-05-01 |
| 1043495906 | Josephine Ward | Physical Therapist | 723 Route 113 Suite 6, Parry Physical Therapy Group, Souderton, PA 18964 | 2008-01-09 |
| 1104036839 | Marc F Lipkin | Dentist | 601 East Broad St, Suite #200, Souderton, PA 18964 | 2007-05-23 |
| 1346392487 | Michael E Kleinman Dmd PC | Dentist | 231 North Main Street, Souderton, PA 18964 | 2007-01-17 |
| 1790799286 | Philip Joseph Bresnahan | Podiatrist | 601 East Broad Street, Suite 220, Souderton, PA 18964 | 2006-07-28 |
| 1568492056 | Mitchel L Abrams | Optometrist | 15 W Garfield Ave, Souderton, PA 18964 | 2006-07-03 |
| Find all providers in zip 18964 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799286 | Philip Joseph Bresnahan | Podiatrist | 601 East Broad Street, Suite 220, Souderton, PA 18964 | 2006-07-28 |
| 1568625010 | Michelle Danielle Morrissey | Podiatrist | 601 E Broad St, Souderton, PA 18964-1263 | 2008-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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| 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.