HEALTHDRIVE PODIATRY GROUP, PC (NPI# 1619905114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619905114 |
| Entity Type | Organization |
| Organization Name | HEALTHDRIVE PODIATRY GROUP, PC |
| Other Organization Name | HEALTHDRIVE PODIATRY GROUP |
| Practice Address |
12 Penns Trail Suite 154 Newtown PA 18940-3438 |
| Mailing Address |
100 Crossing Blvd Suite 300 Framingham MA 01702-5555 |
| Practice Telephone | 2156753005 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | DR. SHADI ADIB ABBOUD (TREASURER/PRACTICE DIRECTOR) |
| Authorized Official Telephone | 8572550486 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHDRIVE PODIATRY GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HEALTH PLAN EAST | 0055313000 | 01 |
| PA | BLUE CROSS BLUE SHIELD | 835574 | 01 |
| PA | 0015488010010 | 05 | |
| PA | RAILROAD | DA3720 | 01 |
| Other Name | Type Code |
|---|---|
| HealthDrive Podiatry Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268866 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 12940 Harriet Ave S Ste 230, Burnsville, MN 55337-2794 | 2019-07-30 |
| 1689613598 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2006-06-06 |
| 1558915330 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 7600 France Ave S Ste 1100, Edina, MN 55435-5936 | 2019-07-30 |
| 1689228470 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2019-07-30 |
| 1548685258 | Healthdrive Podiatry Group, PC | Podiatrist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2014-03-04 |
| 1326220674 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2007-11-28 |
| 1013106533 | Healthdrive Podiatry Group, PC | Podiatrist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2007-10-22 |
| 1831388354 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1851580377 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1134310188 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | 2007-08-06 |
| Street Address |
12 PENNS TRAIL SUITE 154 |
| City | NEWTOWN |
| State | PA |
| Zip Code | 18940-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275596090 | Renee M Feldsher | Dentist | 12 Penns Trail, Suite B, Newtown, PA 18940 | 2006-04-11 |
| 1356942809 | Trimed Home Care LLC | Respite Care | 12 Penns Trail, Newtown, PA 18940-1892 | 2020-11-02 |
| 1922662915 | Parenting Empowerment, LLC | Social Worker | 12 Penns Trail, Newtown, PA 18940 | 2019-04-25 |
| 1427456573 | Jennifer Boggs | Dental Hygienist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2014-12-05 |
| 1962807875 | Cheryl Korton | Dental Hygienist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2014-11-04 |
| 1770828154 | Bernadette Toner | Dental Hygienist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2012-12-11 |
| 1306181870 | Amanda Fletcher | Dental Hygienist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2012-12-10 |
| 1407093461 | Kim Marie Dempsey | Psychologist | 12 Penns Trail, Newtown, PA 18940-1664 | 2009-01-13 |
| 1326220674 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2007-11-28 |
| 1134318652 | Healthdrive Audiology Group, PC | Audiologist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1124596275 | Deborah O'brien | Counselor | Robin Downs & Associates (second Floor), 2189 Second Street Pike, Newtown, PA 18940 | 2018-11-07 |
| 1841788635 | Elevation Homecare Agency LLC | In Home Supportive Care | 12 Penns Trl Ste 152, Newtown, PA 18940 | 2018-04-26 |
| 1811498876 | Rachel Anne Cohen | Social Worker | 8 Skyview Way, Newtown, PA 18940 | 2018-02-26 |
| 1609306224 | Kenneth Myers Jr. | Registered Nurse | 73 King Charles Lane, Newtown, PA 18940 | 2017-06-15 |
| 1245787514 | Kristine Kroll | Occupational Therapist | 94 Richboro Rd Bldg 2, Newtown, PA 18940 | 2016-09-05 |
| 1033569496 | Kristi M Mahan | Physician Assistant | 760 Newtown Yardley Rd Ste 115, Newtown, PA 18940 | 2016-06-16 |
| 1942671441 | Margiotti & Kroll Pediatrics, PC | Speech-Language Pathologist | 31 Cambridge Lane, Suite A, Newtown, PA 18940 | 2015-10-12 |
| 1679982128 | Kelly Corbitt | Social Worker | 17 Barclay Street, Building A, Newtown, NJ 18940 | 2014-08-08 |
| Find all providers in zip 18940 | ||||
| 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 |
|---|---|---|---|---|
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1386684074 | Lawrence Charles Kalker | Podiatrist | 6 S Sycamore St, Newtown, PA 18940-1533 | 2006-06-08 |
| 1639564362 | Esther Shin | Podiatrist | 12 Penns Trl Ste 154, Newtown, PA 18940-3438 | 2015-03-31 |
| 1124262910 | Elle E Riazatti | Podiatrist | 87 South Main Street, Suite 8, Newtown, CT 06470 | 2009-04-24 |
| 1760631642 | Michael Eskarous | Podiatrist | 12 Penns Trl, Newtown, PA 18940-1892 | 2008-09-16 |
| 1700905346 | Lawrence C Kalker Dpm PC | Podiatrist | 6 S Sycamore St, Suite 2, Newtown, PA 18940-1533 | 2007-03-28 |
| 1538272125 | Amy Hall | Podiatrist | 770 Newtown Yardley Rd, Suite 215, Newtown, PA 18940-4501 | 2006-08-16 |
| 1740210210 | Jennifer Lynn Shollenberger | Podiatrist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2006-07-03 |
| 1366471559 | Roger Mendes Marques | Podiatrist | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2006-07-01 |
| 1326044553 | Allan Jaffe | Podiatrist | 770 Newtown Yardley Rd, Suite 215, Newtown, PA 18940-1748 | 2005-06-22 |
| Find all providers in NEWTOWN | ||||
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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.