EDWARD J GAYDOS (NPI# 1306876453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306876453 |
| Entity Type | Individual |
| Full Name | EDWARD J GAYDOS |
| Credential | DPM |
| Practice Address |
111 Lilly St Schuylkill Haven PA 17972-1154 |
| Mailing Address |
305 Village Rd Orwigsburg PA 17961-9688 |
| Practice Telephone | 5703851190 |
| Practice Fax Number | 5703851190 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC003058L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DMERC | 1119540001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423331 | Edward John Gaydos | Pediatrics | 6559 Wilson Mills Rd, Bldg D Suite 101, Mayfield Village, OH 44143-6402 | 2005-08-10 |
| Street Address |
111 LILLY ST |
| City | SCHUYLKILL HAVEN |
| State | PA |
| Zip Code | 17972-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255511705 | Edward J Gaydos Dpm PC | Podiatrist | 111 Lilly St, Schuylkill Haven, PA 17972-1153 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174924690 | Cara Elizabeth Bates | Registered Nurse | 1 Tamaqua Blvd, Prysmian Employee Health Clinic, Schuylkill Haven, PA 17972 | 2014-09-16 |
| 1407059918 | Jude M Gaydos | Dentist | 111 Lilly Street, Schuylkill Haven, PA 17972 | 2007-06-11 |
| 1588873970 | Teresa Ann Gaydos | Dentist | 111 Lilly St., Schuylkill Haven, PA 17972 | 2007-05-22 |
| 1598986028 | Bryan Julius Kiraly | Speech-Language Pathologist | 125 Avenue C, Schuylkill Haven, PA 17972 | 2007-05-01 |
| 1235350778 | Deborah Ann Kulich | Occupational Therapy Assistant | 23 Haven Street, Schuylkill Haven, PA 17972 | 2007-05-01 |
| 1861515462 | Joanne Jeanette Moyer | Speech-Language Pathologist | 401universtiy Drive, Rest Haven, Schuylkill Haven, PA 17972 | 2007-04-09 |
| 1538214663 | Bernice Machamer | Optometrist | 31 Parkway, Schuylkill Haven, PA 17972 | 2007-01-25 |
| 1942351655 | Victoria N Lashenykh-mumbauer | Counselor | 23 St. Peter's Street, Schuylkill Haven, PA 17972 | 2007-01-16 |
| 1831179175 | George L. Roberts | Optometrist | 100 E. Main Street, Schuylkill Haven, PA 17972 | 2006-01-20 |
| 1699763813 | Debra C Ahrensfield | Internal Medicine | 6 S Greenview Rd, Schuylkill Haven, PA 17972 | 2005-10-11 |
| Find all providers in zip 17972 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255511705 | Edward J Gaydos Dpm PC | Podiatrist | 111 Lilly St, Schuylkill Haven, PA 17972-1153 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | SCHUYLKILL HAVEN |
| Zip Code | 17972 |
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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.