DR. MARK CHRISTOPHER YAGODICH (NPI# 1831107325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831107325 |
| Entity Type | Individual |
| Full Name | DR. MARK CHRISTOPHER YAGODICH |
| Credential | DPM |
| Practice Address |
39 Rittenhouse Pl Ardmore PA 19003-2209 |
| Practice Telephone | 6106428837 |
| Practice Fax Number | 6106421607 |
| Mailing Telephone | 6106428837 |
| Mailing Fax Number | 6106421607 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC004026L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0981588000 | 01 |
| PA | 0018222940001 | 05 | |
| PA | AETNA | 7476158 | 01 |
| Street Address |
39 RITTENHOUSE PL |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427066919 | Eric Ricefield | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| 1417283409 | Aliza Vazana Eisen | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| 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 |
|---|---|---|---|---|
| 1174611875 | Lloyd B Landis | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-10 |
| 1427066919 | Eric Ricefield | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| 1265440762 | Your Next Step PC | Podiatrist | 39 Rittenhouse Place, Ardmore, PA 19003 | 2006-08-03 |
| 1932143757 | Leonard H Goldsmith | Podiatrist | 119 Mill Creek Rd, # H1n, Ardmore, PA 19003-1535 | 2006-06-15 |
| 1003889494 | Douglas F. Klepfer | Podiatrist | 694 Pont Reading Rd, First Floor, Ardmore, PA 19003-1917 | 2006-02-08 |
| 1225011786 | Michael R. Grossman | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2005-11-29 |
| 1417943978 | Richard B Cohen | Podiatrist | 119 Coulter Ave, Ardmore, PA 19003-2427 | 2005-09-21 |
| 1265963284 | Leonard H Goldsmith Dpm | Podiatrist | 119 Mill Creek Rd, H1n, Ardmore, PA 19003-1535 | 2017-03-22 |
| 1841354081 | Michael R. Grossman, Dpm | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2006-12-21 |
| 1174611578 | James Q Mcclelland | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-11 |
| Find all providers in ARDMORE | ||||
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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.