DR. ASTRID AVIS (NPI# 1639484991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639484991 |
| Entity Type | Individual |
| Full Name | DR. ASTRID AVIS |
| Other Name | ASTRID PAEZ |
| Credential | DPM |
| Practice Address |
45 E Orange St Lower Level Lancaster PA 17602-5123 |
| Practice Telephone | 7176720400 |
| Practice Fax Number | 7178243466 |
| Mailing Telephone | 7176720400 |
| Mailing Fax Number | 7178243466 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2016-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC006166 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC006166 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE GROUP NUMBER | 202554 | 01 |
| PA | 10255237400001 | 05 |
| Street Address |
45 E ORANGE ST LOWER LEVEL |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922303056 | Footcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 45 E Orange St, Lower Level, Lancaster, PA 17602-5123 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1063617645 | Pamela Sauer | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2007-06-15 |
| 1255339651 | Alan Sclafani | Podiatrist | 2183 Oregon Pike, Lancaster, PA 17601-4604 | 2005-07-09 |
| 1750929378 | The Healthy Foot LLC | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2019-12-13 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1427119262 | Ambulatory Foot Care | Podiatrist | 2700 W Pleasant Run Rd, 360, Lancaster, TX 75146-1079 | 2006-12-13 |
| 1558441733 | Jane A Pontisso | Podiatrist | 1334 Sheridan Dr, Suite 4, Lancaster, OH 43130-3956 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356814545 | Beshay Foot and Ankle Family Clinic Emc LLC | Podiatrist | 317 Deauville Dr, Monroeville, PA 15146-2902 | 2019-01-10 |
| 1710335476 | Foot and Ankle Excellence, Inc | Podiatrist | 1900 Grant Ave Ste B, Philadelphia, PA 19115-4370 | 2016-06-02 |
| 1346628229 | Muhammad Sharif | Podiatrist | 10900 Bustleton Ave Apt B37, Philadelphia, PA 19116-3349 | 2015-05-12 |
| 1336571686 | Whitethorn Consultants LLC | Podiatrist | 447 Maplewood Ave, Ambridge, PA 15003-2521 | 2013-08-08 |
| 1932346178 | Saji Simon | Podiatrist | 971 East Lancaster Avenue, Saji Enterprises P.C. Wellness Office, Downingtown, PA 19335 | 2009-01-09 |
| 1083871727 | Mary Ann Farmer, Dpm | Podiatrist | 545 Rugh St Ste 3000, Greensburg, PA 15601-5695 | 2008-05-20 |
| 1578730651 | Mj6 Enterprises | Podiatrist | 900 Century Dr, Suite 101, Mechanicsburg, PA 17055-4525 | 2008-05-08 |
| 1962672279 | Louis G. Izzo Iv | Podiatrist | 826 Lowry Ave, Jeannette, PA 15644-2661 | 2008-03-04 |
| 1760679567 | Gina M Carlo Dpm PC | Podiatrist | 26 N Scott St, Carbondale, PA 18407-1834 | 2007-09-26 |
| 1205020179 | Verona Foot Care LLC | Podiatrist | 600 W Railroad Ave, Verona, PA 15147-1140 | 2007-09-04 |
| 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.