BERKS FOOT SPECIALISTS, PC (NPI# 1548466261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548466261 |
| Entity Type | Organization |
| Organization Name | BERKS FOOT SPECIALISTS, PC |
| Practice Address |
4885 Demoss Rd Suite 103 Reading PA 19606-9023 |
| Practice Telephone | 6107794020 |
| Practice Fax Number | 6107797044 |
| Mailing Telephone | 6107794020 |
| Mailing Fax Number | 6107797044 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. BRADLY SCOTT SHOLLENBERGER (PRESIDENT) |
| Authorized Official Telephone | 6107794020 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC002902L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KHP CENTRAL | 01328801 | 01 |
| PA | PA BLUE SHIELD | 688055 | 01 |
| PA | 011820330007 | 05 | |
| PA | AMERIHEALTH MERCY | 31854 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 000688055 | 01 |
| PA | BLUE CROSS | 02363800 | 01 |
| PA | KHP EAST | 0522660000 | 01 |
| Street Address |
4885 DEMOSS RD SUITE 103 |
| City | READING |
| State | PA |
| Zip Code | 19606-9023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009307 | Michael L Sinitsa | Family Medicine | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2005-08-09 |
| 1689158842 | Erin A Roth | Nurse Practitioner | 4885 Demoss Rd, Reading, PA 19606-9023 | 2018-09-24 |
| 1215380654 | Angela D Sonon | Registered Nurse | 4885 Demoss Rd, Suite 200, Reading, PA 19606-9023 | 2016-07-21 |
| 1578936118 | Kara Mann | Physician Assistant | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2015-11-04 |
| 1336557065 | Samantha Snukis | Physician Assistant | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2014-07-25 |
| 1982033593 | Holly Ann Dimascio | Physician Assistant | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2013-11-04 |
| 1649551284 | Caitlyn Dunkelberger | Physician Assistant | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2011-09-08 |
| 1316277684 | Keystone Orthopaedic Specialists | Durable Medical Equipment & Medical Supplies | 4885 Demoss Rd, Suite 102, Reading, PA 19606-9023 | 2010-01-08 |
| 1194051649 | Martha Elizabeth Gipprich | Physician Assistant | 4885 Demoss Rd, Suite 201, Reading, PA 19606-9023 | 2009-10-19 |
| 1275651432 | Family Medical Specialists, PC | Family Medicine | 4885 Demoss Rd, Ste 203, Reading, PA 19606-9023 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293977 | Vitalia Lopez | Licensed Practical Nurse | 1064 Fox Run, Reading, PA 19606 | 2017-09-06 |
| 1033665815 | Tyler Black | Pharmacist | 320 Parkview Ave, Reading, PA 19606 | 2016-08-31 |
| 1003285214 | Brittany Stankovic | Speech-Language Pathologist | 208 Lincoln Drive, Reading, PA 19606 | 2015-09-17 |
| 1225431190 | Theodore Wallace Jr. | Behavioral Analyst | 66 Rockhaven Court, Reading, PA 19606 | 2014-10-06 |
| 1326314790 | Megan Ann Guzowski | Occupational Therapy Assistant | 5501 Perkiomen Avenue, Reading, PA 19606 | 2012-03-29 |
| 1720241367 | Jose A Ruiz Martinez | Pharmacist | 23 Pickwick Pl, Exeter, PA 19606 | 2008-07-03 |
| 1194925263 | Jon M Kanegawa | Dentist | 4462 Boyertown Pike, Reading, PA 19606 | 2007-07-18 |
| 1780722298 | Randal Cory Reinecker | Dentist | 5 Hearthstone Court, Suite 102, Reading, PA 19606 | 2007-02-05 |
| 1003953423 | James C Petras | Dentist | 2951 St Lawrence Ave, Reading, PA 19606 | 2007-02-01 |
| 1639234966 | Glenn D Ruoss | Dentist | 17 North 23rd St, Mt Penn, PA 19606 | 2006-12-27 |
| Find all providers in zip 19606 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1447404280 | Caroline Gauthier | Podiatrist | 50 Haven St, Reading, MA 01867-2929 | 2008-11-06 |
| 1568655025 | Noahleen Betts | Podiatrist | 1741 Perkiomen Ave, Reading, PA 19602-2243 | 2007-08-19 |
| 1487655718 | John Samuel Turrisi | Podiatrist | 103 S 5th St, Reading, PA 19602-1692 | 2005-08-09 |
| 1952821373 | Christine Mariano | Podiatrist | 6 Hearthstone Ct Ste 106, Reading, PA 19606-3062 | 2017-06-27 |
| 1942720206 | Garrett Melick | Podiatrist | 50 Haven St, Reading, MA 01867-2929 | 2017-06-27 |
| 1902356587 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 New Crossing Rd, Suite 311, Reading, MA 01867-3270 | 2016-10-07 |
| 1013461672 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 New Crossing Rd, Suite 311, Reading, MA 01867-3270 | 2016-08-11 |
| 1184890238 | Reading Foot and Ankle PC | Podiatrist | 1741 Perkiomen Ave, Reading, PA 19602-2243 | 2008-05-07 |
| 1558546168 | Jeffrey M. Keating, D.p.m. | Podiatrist | 2208 Quarry Dr, Suite 200, Reading, PA 19609-1158 | 2008-01-02 |
| Find all providers in READING | ||||
Please comment or provide details below to improve the information on BERKS FOOT SPECIALISTS, 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.