FOOT AND ANKLE EXCELLENCE, INC (NPI# 1710335476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710335476 |
Entity Type | Organization |
Organization Name | FOOT AND ANKLE EXCELLENCE, INC |
Other Organization Name | FOOT AND ANKLE EXCELLENCE |
Practice Address |
1900 Grant Ave Ste B Philadelphia PA 19115-4370 |
Mailing Address |
1927 Goodnaw St Philadelphia PA 19115-4720 |
Practice Telephone | 2156986133 |
Practice Fax Number | 2156986144 |
Mailing Telephone | (215) 698-6133 |
Mailing Fax Number | 2156986144 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2017-05-25 |
Authorized Official Name | DR. BRUNI LEKA (OWNER) |
Authorized Official Telephone | 2156986133 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC006479 | PA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006479 | PA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1032590600001 | 05 |
Other Name | Type Code |
---|---|
Foot and Ankle Excellence | Doing Business As Name - Organization |
Street Address |
1900 GRANT AVE STE B |
City | PHILADELPHIA |
State | PA |
Zip Code | 19115-4370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
Find all providers in zip 19115 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19115 |
Please comment or provide details below to improve the information on FOOT AND ANKLE EXCELLENCE, 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.