GORDON PODIATRY, LLC (NPI# 1609311034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609311034 |
| Entity Type | Organization |
| Organization Name | GORDON PODIATRY, LLC |
| Practice Address |
2285 Cross Rd Glenside PA 19038-5023 |
| Practice Telephone | 2158875910 |
| Practice Fax Number | 2158870387 |
| Mailing Telephone | 2158875910 |
| Mailing Fax Number | 2158870387 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. ALICIA ANNE CANZANESE (OWNER) |
| Authorized Official Telephone | 2158875910 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC006606 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2285 CROSS RD |
| City | GLENSIDE |
| State | PA |
| Zip Code | 19038-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675449 | Gary M Gordon | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2005-08-02 |
| 1760017214 | Brittany Gumerman | Physical Therapist | 2285 Cross Rd, Glenside, PA 19038-5009 | 2020-03-05 |
| 1710321823 | Alicia Anne Canzanese | Podiatrist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2013-04-18 |
| 1770839763 | Lawrence A. Paster Physical Therapy, LLC | Physical Therapist | 2285 Cross Rd, Glenside, PA 19038-5023 | 2012-07-27 |
| 1659455756 | Gary M Gordon Dpm PC | Durable Medical Equipment & Medical Supplies | 2285 Cross Rd, Glenside, PA 19038 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
| 1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
| 1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
| 1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
| 1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
| 1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
| 1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| Find all providers in zip 19038 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
| 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.