DR. LEON C SIDOREK (NPI# 1336145085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145085 |
| Entity Type | Individual |
| Full Name | DR. LEON C SIDOREK |
| Credential | D.P.M. |
| Practice Address |
12 Grace Dr Suite 2 Tunkhannock PA 18657-9120 |
| Mailing Address |
12 Grace Dr Ste 2 Tunkhannock PA 18657-9120 |
| Practice Telephone | 5708363668 |
| Practice Fax Number | 5708365710 |
| Mailing Telephone | 5708363668 |
| Mailing Fax Number | 5708365710 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC-002903-L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010088450003 | 05 |
| Street Address |
12 GRACE DR SUITE 2 |
| City | TUNKHANNOCK |
| State | PA |
| Zip Code | 18657-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194092114 | Michael Francis Lynch | Physical Therapist | 821 N Eaton Rd, Tunkhannock, PA 18657 | 2011-11-18 |
| 1013200690 | Elizabeth Lynn Shook | Pharmacist | 600 Hunter Highway, Tunkhannock, PA 18657 | 2011-05-16 |
| 1649561044 | William Zupko | Pharmacist | 420 Tioga West Plaza, Tunkhannock, PA 18657 | 2011-04-20 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1780992230 | Mallory Kay Racoski | Physician Assistant | 5950 Sr 6 Fl 4, Tunkhannock, PA 18657 | 2010-09-17 |
| 1912154279 | Maya W Noble | Acupuncturist | 134 E Tioga Street, Four Winds Acupuncture Clinic, Tunkhannock, PA 18657 | 2008-08-19 |
| 1023282506 | Four Winds Acupuncture Clinic and Integrative Therapies, PC | Social Worker | 6 Sunnyside Rd, Tunkhannock, PA 18657 | 2008-04-16 |
| 1871708040 | Robin Bolinder Pinches | Physical Therapist | 880 Sr6w, Tyler Memorial Hospital, Tunkhannock, PA 18657 | 2007-05-11 |
| 1972729028 | Eugene John Geeza | Physical Therapist | Tyler Memorial Hospital, 880 Sr 6 W, Tunkhannock, PA 18657 | 2007-04-17 |
| 1104981018 | Williams Primary Care PC | Internal Medicine | 71 Hollowcrest Drive, Suite 3, Tunkhannock, PA 18657 | 2006-12-22 |
| Find all providers in zip 18657 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 | TUNKHANNOCK |
| Zip Code | 18657 |
Please comment or provide details below to improve the information on DR. LEON C SIDOREK.
| 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.