ELIZABETH L MASSIMINI (NPI# 1922078765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922078765 |
Entity Type | Individual |
Full Name | ELIZABETH L MASSIMINI |
Credential | DPM |
Practice Address |
1008 N Providence Rd Media PA 19063-2101 |
Practice Telephone | 6108928090 |
Practice Fax Number | 6108928040 |
Mailing Telephone | 6108928090 |
Mailing Fax Number | 6108928040 |
Enumeration Date | 2006-01-24 |
Last Update Date | 2009-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC003395L | PA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 01600367 | 05 |
Street Address |
1008 N PROVIDENCE RD |
City | MEDIA |
State | PA |
Zip Code | 19063-2101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487634978 | Richard M. Oller | Podiatrist | 136 E Baltimore Ave, Media, PA 19063-3428 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245883008 | Varnel Noel | Podiatrist | 25 Merion Rd, Merion Station, PA 19066-1826 | 2019-07-22 |
1225697352 | Healthy Steps Podiatry Center, Pllc | Podiatrist | 431 E Chocolate Ave Ste 3, Hershey, PA 17033-1310 | 2019-06-12 |
1538646591 | Wyoming Valley Foot Associates P C | Podiatrist | 457 N Main St Ste 105, Pittston, PA 18640-2185 | 2018-07-23 |
1053651745 | Delta Foot and Ankle Center, LLC | Podiatrist | 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 | 2013-02-18 |
1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
1790098036 | Valley Foot and Ankle Center | Podiatrist | 395 N Hermitage Rd, Hermitage, PA 16148-3373 | 2010-07-15 |
1841432358 | Pain Management Specialist and Associates | Podiatrist | 322 Mall Blvd., 172, Pittsburgh, PA 15146-2229 | 2009-03-30 |
1104087980 | Mari Elizabeth Wargo-dorsey | Podiatrist | 9218 Route 119 Hwy S, Blairsville, PA 15717-8849 | 2008-06-24 |
1619164415 | Greg T. Evans Dpm PC | Podiatrist | 908 Wyoming Ave Ste C, Wyoming, PA 18644-1300 | 2007-09-26 |
1720270663 | Barbara A Rosenberg | Podiatrist | 6341 Sylvester St, Philadelphia, PA 19149-2837 | 2007-08-14 |
Find all providers with the same taxonomy |
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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.