LAUREN CONCODORA (NPI# 1891006508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891006508 |
| Entity Type | Individual |
| Full Name | LAUREN CONCODORA |
| Credential | DPM |
| Practice Address |
1546 Packer Ave Philadelphia PA 19145-5407 |
| Practice Telephone | 2153349900 |
| Mailing Telephone | 2153349900 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1-0000217 | DE | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006208 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1546 PACKER AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737161 | Podiatric Medical and Surgical Associates, PC | Podiatrist | 1546 Packer Ave, Philadelphia, PA 19145-5407 | 2005-08-11 |
| 1487828133 | Elizabeth Brooks | Podiatrist | 1546 Packer Ave, Philadelphia, PA 19145-5407 | 2008-04-14 |
| 1760688063 | Elizabeth Diem Luong | Podiatrist | 1546 Packer Ave, Philadelphia, PA 19145-5407 | 2007-06-23 |
| 1649234758 | Michael F Zarro | Podiatrist | 1546 Packer Ave, Philadelphia, PA 19145-5407 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| 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 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on LAUREN CONCODORA.
| 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.