SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC (NPI# 1578627626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578627626 |
| Entity Type | Organization |
| Organization Name | SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC |
| Practice Address |
1018 North Susquehanna Trail Selinsgrove PA 17870 |
| Practice Telephone | 5703743668 |
| Practice Fax Number | 5703747306 |
| Mailing Telephone | 5703743668 |
| Mailing Fax Number | 5703747306 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DARLA R MILLER (CO-OWNER) |
| Authorized Official Telephone | 5703743668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC004206R | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC004004L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015896440005 | 05 | |
| PA | 0015721370004 | 05 |
| Street Address |
1018 NORTH SUSQUEHANNA TRAIL |
| City | SELINSGROVE |
| State | PA |
| Zip Code | 17870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423565 | Mark Douglas Sanders | Optometrist | 217 Sweet Gum Road, Selinsgrove, PA 17870 | 2019-02-14 |
| 1700298767 | Jagdeep Goraya | Dentist | 2192 N Susquehanna Trail, Selinsgrove, PA 17870 | 2014-05-27 |
| 1750680880 | Bayada Home Health Care, Inc. | Home Health | 8 West Snyder Street, Selinsgrove, PA 17870 | 2011-03-15 |
| 1275850620 | Geisinger Medical Center | General Acute Care Hospital | 620 University Avenue, Selinsgrove, PA 17870 | 2010-04-26 |
| 1023253275 | Gregory Reese D.c | Chiropractor | 1372 N. Susq. Trl. Ste. 120, Selinsgrove, PA 17870 | 2008-12-02 |
| 1639349897 | Semian Surgical Associates LLC | Clinic/Center | One Commerce Avenue, Selinsgrove, PA 17870 | 2008-03-04 |
| 1225250376 | Grayson Selinsgrove Limited Partnership | Assisted Living Facility | 29 Grayson View Court, Selinsgrove, PA 17870 | 2007-05-02 |
| 1225166234 | Darla R. Miller, Dpm | Podiatrist | 1018 N Susquehanna Trail, Selinsgrove, PA 17870 | 2007-03-01 |
| 1447319355 | Vision Max | Optometrist | 1026 N Susquehanna Trail, Selinsgrove, PA 17870 | 2006-12-06 |
| 1679646707 | Anthony Do | Optometrist | Routes 11 &15, Space #g-4, Susquehanna Valley Mall, Selinsgrove, PA 17870 | 2006-11-16 |
| Find all providers in zip 17870 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225166234 | Darla R. Miller, Dpm | Podiatrist | 1018 N Susquehanna Trail, Selinsgrove, PA 17870 | 2007-03-01 |
| 1194709493 | Angelina Marie Colton-slotter | Podiatrist | 1018 N Susquehanna Trl, Selinsgrove, PA 17870-7767 | 2005-12-01 |
| 1427032382 | Darla R Miller | Podiatrist | 1018 N Susquehanna Trl, Selinsgrove, PA 17870-7767 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SELINSGROVE |
| Zip Code | 17870 |
Please comment or provide details below to improve the information on SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC.
| 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.