LANCASTER DEPEW PODIATRY GRP (NPI# 1487832119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487832119 |
| Entity Type | Organization |
| Organization Name | LANCASTER DEPEW PODIATRY GRP |
| Practice Address |
5429 Broadway St Lancaster NY 14086-2123 |
| Practice Telephone | 7166841010 |
| Practice Fax Number | 7166841011 |
| Mailing Telephone | 7166841010 |
| Mailing Fax Number | 7166841011 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | MR. ROBERT JOSEPH RUDEWICZ (OWNER) |
| Authorized Official Telephone | 7166841010 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2795 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5429 BROADWAY ST |
| City | LANCASTER |
| State | NY |
| Zip Code | 14086-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487152385 | Craig Adam Kowalski | Physical Therapist | 5949 Broadway, Lancaster, NY 14086 | 2018-01-25 |
| 1376971523 | Emily Catherine Tutak | Occupational Therapist | 53 Robert Drive, Lancaster, NY 14086 | 2013-10-25 |
| 1730452756 | Cassandra A Riley-marino | Massage Therapist | 5600 Broadway St., Lancaster, NY 14086 | 2012-02-22 |
| 1861707838 | Village Audiology and Hearing Aid Services, Pllc | Audiologist | 56 Church St., Lancaster, NY 14086 | 2010-08-13 |
| 1356673461 | Brendan J Ciura | Chiropractor | 450 Central Ave., Suite 102, Lancaster, NY 14086 | 2010-02-01 |
| 1992960512 | Katherine Mary Odonnell | Massage Therapist | 450 Central Avenue, Columbia Professional Medical Building, Lancaster, NY 14086 | 2008-07-23 |
| 1285897686 | Janice Welker Schaner | Massage Therapist | 50 St. Mary's St., Lancaster, NY 14086 | 2008-07-07 |
| 1134249394 | Marie Synrod | Massage Therapist | 5336 Broaadway, Lancaster, NY 14086 | 2007-03-30 |
| 1669524492 | Child and Adolescent Treatment Service Inc | Counselor | 11 West Main Street, Suite A, Lancaster, NY 14086 | 2007-01-18 |
| 1114000916 | Chad Hamilton Kahler | Dentist | 450 Central Ave Suite 101, Lancaster, NY 14086 | 2006-10-23 |
| Find all providers in zip 14086 | ||||
| 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 |
|---|---|---|---|---|
| 1790160901 | Lancaster Medical Group, LLC | Podiatrist | 90 Good Dr Ste 101, Lancaster, PA 17603-4360 | 2015-07-29 |
| 1639484991 | Astrid Avis | Podiatrist | 45 E Orange St, Lower Level, Lancaster, PA 17602-5123 | 2010-08-11 |
| 1003097569 | Peter C Smith Dpm | Podiatrist | 300 Granite Run Dr, Suite 160, Lancaster, PA 17601-6806 | 2007-11-26 |
| 1134317555 | Mj6 Enterprises | Podiatrist | 996 E Orange St, Lancaster, PA 17602-3214 | 2007-10-10 |
| 1891846218 | Robert Joseph Rudewicz | Podiatrist | 5429 Broadway, Lancaster, NY 14086-2123 | 2007-01-13 |
| 1831260934 | Steven A Jacobs | Podiatrist | 11 E Walnut St, Lancaster, PA 17602-4923 | 2006-11-11 |
| 1679663074 | Lawrence H Rosen | Podiatrist | 24 E Mcgovern Ave, Lancaster, PA 17602-1923 | 2006-10-14 |
| 1245326271 | Andrew J Heller | Podiatrist | 1505 W Ave J, # 203, Lancaster, CA 93534 | 2006-10-05 |
| 1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| 1245201789 | Marilyn C Henderson | Podiatrist | 882 Millersville Rd, Lancaster, PA 17603-6154 | 2006-02-01 |
| Find all providers in LANCASTER | ||||
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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.