DR. MARYANN P HARTZELL (NPI# 1265439814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265439814 |
| Entity Type | Individual |
| Full Name | DR. MARYANN P HARTZELL |
| Credential | DPM |
| Practice Address |
1356 Main St Northampton PA 18067-1612 |
| Practice Telephone | 6102623417 |
| Practice Fax Number | 6102621404 |
| Mailing Telephone | 6102623417 |
| Mailing Fax Number | 6102621404 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC0036191 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPTIAL BLUE CROSS | 50040438 | 01 |
| PA | HIGHMARK | 710559 | 01 |
| Street Address |
1356 MAIN ST |
| City | NORTHAMPTON |
| State | PA |
| Zip Code | 18067-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378297 | David A Edmonds | Podiatrist | 1356 Main St, Northampton, PA 18067-1612 | 2005-06-28 |
| 1619357605 | Certified Wound Care Specialists LLC | Nurse Practitioner | 1356 Main St, Northampton, PA 18067-1798 | 2015-06-04 |
| 1710317839 | Joanne Kocon Labiak | Nurse Practitioner | 1356 Main St, Northampton, PA 18067-1798 | 2013-11-26 |
| 1063776466 | Megan S Balliet | Podiatrist | 1356 Main St, Northampton, PA 18067-1798 | 2012-06-29 |
| 1578535159 | Advanced Podiatry Associates, LLC. | Podiatrist | 1356 Main St, Northampton, PA 18067-1612 | 2006-02-07 |
| 1962480269 | Gina Ann Brigido | Podiatrist | 1356 Main St, Northampton, PA 18067-1612 | 2006-01-06 |
| 1790782142 | John M Mcfadden | Podiatrist | 1356 Main St, Northampton, PA 18067-1612 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666829 | St. Luke's Physician Group, Inc. | Family Medicine | 602b East 21st St, Suite 400, Northampton, PA 18067 | 2018-04-13 |
| 1720444722 | Josiely Garcia | Behavioral Analyst | 1325 Granger Rd, Northampton, PA 18067 | 2016-01-06 |
| 1801153143 | Lehigh Valley Dental Solutions | Dentist | 3258 Cherryville Rd., Northampton, PA 18067 | 2012-04-11 |
| 1578715694 | Dawn Marie Newhard-vilanova | Occupational Therapist | 445 Indian Trail Rd., Northampton, PA 18067 | 2008-10-21 |
| 1326205170 | Pennsylvania Assessment Consultants for Co Occurring Disorders LLC | Counselor | 2030 Center St. Plaza, Suite 104, Northampton, Pa 18067, PA 18067 | 2008-05-20 |
| 1972706091 | Wassim Abosamra | Family Medicine | 602 East 21st Street, Northampton, PA 18067 | 2007-06-06 |
| 1568683167 | Craig Rice | Physical Therapist | 818 Ward Drive, Northampton, PA 18067 | 2007-05-01 |
| 1114054459 | Sarah F Hilbert | Physician Assistant | 602b East 21st Street, Suite 400, Northampton, PA 18067 | 2007-02-27 |
| 1669583159 | Daniel Joseph Milavec | Dentist | 1855 Washington Ave, Northampton, PA 18067 | 2006-08-31 |
| 1881653657 | Junaid Sultan | Internal Medicine | 602 B East 21st Street, Suite 400, Northampton, PA 18067 | 2006-03-21 |
| Find all providers in zip 18067 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210292 | Jose Loor Dpm LLC | Podiatrist | 3607 Lehigh Dr, Northampton, PA 18067-9638 | 2018-09-26 |
| 1598979759 | Khanhmei L. Wong | Podiatrist | 22 Atwood Dr, Northampton, MA 01060-4272 | 2007-05-09 |
| 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 | ||||
| City | NORTHAMPTON |
| Zip Code | 18067 |
Please comment or provide details below to improve the information on DR. MARYANN P HARTZELL.
| 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.