KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC


Address: 5001 Louise Dr, Suite 104, Mechanicsburg, PA 17055-6912
Phone: 7174585611

KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC (NPI# 1376608430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376608430
Entity Type Organization
Organization Name KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC
Practice Address 5001 Louise Dr
Suite 104
Mechanicsburg
PA 17055-6912
Practice Telephone 7174585611
Practice Fax Number 7175905938
Mailing Telephone 7174585611
Mailing Fax Number 7175305338
Enumeration Date 2006-12-27
Last Update Date 2015-01-06
Authorized Official Name DR. RICHARD ALLEN ROGERS (PRESIDENT CORPORATION)
Authorized Official Telephone 7176779288
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 0016004560013 05

Office Location

Street Address 5001 LOUISE DR
SUITE 104
City MECHANICSBURG
State PA
Zip Code 17055-6912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013227677 Bayada Home Health Care, Inc. Home Health 5001 Louise Dr, Suite 203, Mechanicsburg, PA 17055-6912 2010-10-18

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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417598426 Foot and Ankle Specialists of The Mid-atlantic, LLC Podiatrist 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 2019-10-01
1710421615 Jeffrey A. Marks, Dpm PC Podiatrist 161 Old Schoolhouse Ln Ste 2, Mechanicsburg, PA 17055-5680 2016-12-12
1609162338 Lindsay Beth Schmoyer Podiatrist 5108 E. Trindle Rd, Suite 100, Mechanicsburg, PA 17050-3300 2011-06-21
1659518264 Asma N Khan Podiatrist 4 Flowers Dr Ste 2, Mechanicsburg, PA 17050-1709 2009-01-20
1598750325 Susan J Rosso Podiatrist 5108 E Trindle Rd, Suite 100, Mechanicsburg, PA 17050 2005-09-19
1467454033 Jeffrey Alan Marks Podiatrist 161 Old Schoolhouse Ln, Suite 2, Mechanicsburg, PA 17055-5684 2005-08-12
1861949372 Harrisburg Foot and Ankle Center, Inc. Podiatrist 2025 Technology Pkwy, Suite 201, Mechanicsburg, PA 17050-9400 2016-09-01
1699912204 Terry H Clarke Podiatrist 4 Flowers Dr, Suite #2, Mechanicsburg, PA 17050-1709 2009-01-20
1083676514 Cumberland Valley Foot and Ankle Specialists, PC Podiatrist 5108 E Trindle Rd, Suite 100, Mechanicsburg, PA 17050 2006-04-03
1164418174 Helen C Gold Podiatrist 5108 E Trindle Rd, Suite 100, Mechanicsburg, PA 17050 2005-09-26
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Competitor

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City MECHANICSBURG
Zip Code 17055

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Dataset Information

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.

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