CENTRAL PA PODIATRY ASSOCIATES, PC (NPI# 1740269596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740269596 |
| Entity Type | Organization |
| Organization Name | CENTRAL PA PODIATRY ASSOCIATES, PC |
| Practice Address |
2727 Beale Ave Suite A Altoona PA 16601-1705 |
| Practice Telephone | 8149461075 |
| Practice Fax Number | 8149464076 |
| Mailing Telephone | 8149461075 |
| Mailing Fax Number | 8149464076 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | DONALD E MRDJENOVICH (PRESIDENT) |
| Authorized Official Telephone | 8149461075 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY GROUP | 1024437 | 01 |
| PREFERRED HEALTHCARE | H26758 | 01 | |
| PREMIER BLUE | H26758 | 01 | |
| INDEPENDENCE PPO BLUE GRP | 0857830000 | 01 | |
| PA | BLUE SHIELD GROUP | 826758 | 01 |
| RR MEDICARE | CC2226 | 01 | |
| AMERIHEALTH | H26758 | 01 | |
| PA | DME GROUP | 1115690001 | 01 |
| Street Address |
2727 BEALE AVE SUITE A |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632428 | Donald E Mrdjenovich | Podiatrist | 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 | 2006-01-09 |
| 1689837650 | Kirstyn D Caldwell | Podiatrist | 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 | 2008-07-09 |
| 1215099635 | Compression Management Services, Inc. | Durable Medical Equipment & Medical Supplies | 2727 Beale Ave, Altoona, PA 16601-1705 | 2006-12-14 |
| 1902884950 | Gerald E Gronborg | Podiatrist | 2727 Beale Ave, Suite A, Altoona, PA 16601-1705 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1356814545 | Beshay Foot and Ankle Family Clinic Emc LLC | Podiatrist | 317 Deauville Dr, Monroeville, PA 15146-2902 | 2019-01-10 |
| 1710335476 | Foot and Ankle Excellence, Inc | Podiatrist | 1900 Grant Ave Ste B, Philadelphia, PA 19115-4370 | 2016-06-02 |
| 1346628229 | Muhammad Sharif | Podiatrist | 10900 Bustleton Ave Apt B37, Philadelphia, PA 19116-3349 | 2015-05-12 |
| 1336571686 | Whitethorn Consultants LLC | Podiatrist | 447 Maplewood Ave, Ambridge, PA 15003-2521 | 2013-08-08 |
| 1932346178 | Saji Simon | Podiatrist | 971 East Lancaster Avenue, Saji Enterprises P.C. Wellness Office, Downingtown, PA 19335 | 2009-01-09 |
| 1083871727 | Mary Ann Farmer, Dpm | Podiatrist | 545 Rugh St Ste 3000, Greensburg, PA 15601-5695 | 2008-05-20 |
| 1578730651 | Mj6 Enterprises | Podiatrist | 900 Century Dr, Suite 101, Mechanicsburg, PA 17055-4525 | 2008-05-08 |
| 1962672279 | Louis G. Izzo Iv | Podiatrist | 826 Lowry Ave, Jeannette, PA 15644-2661 | 2008-03-04 |
| 1760679567 | Gina M Carlo Dpm PC | Podiatrist | 26 N Scott St, Carbondale, PA 18407-1834 | 2007-09-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL PA PODIATRY ASSOCIATES, PC.
| 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.