BERKS LEBANON PODIATRY CENTER (NPI# 1699935197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699935197 |
| Entity Type | Organization |
| Organization Name | BERKS LEBANON PODIATRY CENTER |
| Practice Address |
200 Reading Ave Ste 101 West Reading PA 19611-1140 |
| Practice Telephone | 6103747583 |
| Practice Fax Number | 6103742210 |
| Mailing Telephone | 6103747583 |
| Mailing Fax Number | 6103742210 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DR. MATTHEW G. LOUDIS (OWNER) |
| Authorized Official Telephone | 6103747583 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC-003257L | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
200 READING AVE STE 101 |
| City | WEST READING |
| State | PA |
| Zip Code | 19611-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645247 | Donna Connor | Nurse Practitioner | S. 6th Ave, Reading, PA 19611 | 2017-05-08 |
| 1215397286 | Brian Punnoose | Pharmacist | 301 S. 6th Avenue, West Reading, PA 19611 | 2016-03-03 |
| 1700273323 | Sheila Kalathil | Internal Medicine | 420 S 5th Avenue, West Reading, PA 19611 | 2015-04-21 |
| 1497174502 | Marianne Sharon | Counselor | 20-22 North 6th Ave., West Reading, PA 19611 | 2014-04-16 |
| 1699191718 | Meghan Ward | Nurse Practitioner | Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-03-13 |
| 1821413378 | Elizabeth Rider-williams | Counselor | 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 | 2014-02-20 |
| 1295050193 | John Oliver Mclain Jr. | Psychiatry & Neurology | S. 6th Ave and Spruce Street, West Reading, PA 19611 | 2010-04-02 |
| 1215252515 | Sara L Lee | Physician Assistant | S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 | 2010-03-30 |
| 1508012683 | Kathryn Mraz Marr | Physical Therapist | 629 Court St, West Reading, PA 19611 | 2008-08-08 |
| 1316116809 | Genesis House Reading | Clinic/Center | 697 Reading Avenue, West Reading, PA 19611 | 2008-02-28 |
| Find all providers in zip 19611 | ||||
| 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 |
|---|---|---|---|---|
| 1831199934 | Thomas Keith Albert | Podiatrist | 200 Reading Ave, Ste 101, West Reading, PA 19611-1140 | 2005-07-29 |
| 1699392761 | Darian Wilson | Podiatrist | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-07-06 |
| 1699392753 | Genesis Parra-lugo | Podiatrist | 420 S 5th Ave, West Reading, PA 19611-2143 | 2020-07-06 |
| 1265918122 | Rachel Hensley | Podiatrist | 420 S 5th Ave, West Reading, PA 19611 | 2018-07-13 |
| 1437635398 | Daniel Pierini | Podiatrist | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-07-13 |
| 1952822876 | Jeffery Zimmerman | Podiatrist | 420 S 5th Ave, West Reading, PA 19611-2143 | 2017-06-30 |
| 1841643764 | Chase Moffat | Podiatrist | 420 S 5th Ave, West Reading, PA 19611-2143 | 2016-07-15 |
| 1386020832 | Peter Smith | Podiatrist | 6th Avenue and Spruce Street, West Reading, PA 19611 | 2015-08-07 |
| 1720495658 | Benjamin Pelleschi | Podiatrist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-07-11 |
| 1356758288 | Mary Ann Patterson | Podiatrist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-07-11 |
| Find all providers in WEST READING | ||||
| City | WEST READING |
| Zip Code | 19611 |
Please comment or provide details below to improve the information on BERKS LEBANON PODIATRY CENTER.
| 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.