THAT FOOT DOCTOR, LLC (NPI# 1730503723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730503723 |
| Entity Type | Organization |
| Organization Name | THAT FOOT DOCTOR, LLC |
| Other Organization Name | MICHELLE MCCARROLL, LLC |
| Practice Address |
1251 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6205 |
| Practice Telephone | 6108413535 |
| Practice Fax Number | 6108414367 |
| Mailing Telephone | 6108413535 |
| Mailing Fax Number | 6108414367 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | MICHELLE MCCARROLL (OWNER) |
| Authorized Official Telephone | 6108413535 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC003851L | PA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| michelle mccarroll, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134566292 | That Foot Doctor, LLC | Clinic/Center | 1251 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6205 | 2013-05-30 |
| Street Address |
1251 S CEDAR CREST BLVD SUITE 301 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091570 | John David Karabasz | Dentist | 1251 S Cedar Crest Blvd, Ste 306, Allentown, PA 18103-6205 | 2005-05-24 |
| 1881133171 | Alicia Coffman | Counselor | 1251 S Cedar Crest Blvd, 211d, Allentown, PA 18103-6205 | 2017-02-20 |
| 1467807818 | Julia Anne West | Psychologist | 1251 S Cedar Crest Blvd, Suite 211d, Allentown, PA 18103-6205 | 2016-05-03 |
| 1538532932 | Lee&zhao Acupuncture Pllc | Acupuncturist | 1251 S Cedar Crest Blvd, Allentown, PA 18103-6205 | 2015-11-06 |
| 1154798072 | Scott Frey Dds PC | Dentist | 1251 S Cedar Crest Blvd, Suite 210, Allentown, PA 18103-6205 | 2015-08-26 |
| 1700265766 | Dane Brittan Kyle | Dentist | 1251 S Cedar Crest Blvd, Suite 207-c, Allentown, PA 18103-6205 | 2015-05-23 |
| 1639557663 | Nicole Freemont | Audiologist-Hearing Aid Fitter | 1251 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6205 | 2015-05-11 |
| 1255726477 | Sunghee Lee | Acupuncturist | 1251 S Cedar Crest Blvd, Building 1251, Suite 110a, Allentown, PA 18103-6205 | 2015-04-03 |
| 1194118216 | Lysslex, Inc. | Home Health | 1251 S Cedar Crest Blvd, Suite 209, Allentown, PA 18103-6205 | 2015-03-13 |
| 1134566292 | That Foot Doctor, LLC | Clinic/Center | 1251 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6205 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528381274 | Philip J Jimenez | Podiatrist | 1633 N 26th St, Allentown, PA 18104-1805 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883008 | Varnel Noel | Podiatrist | 25 Merion Rd, Merion Station, PA 19066-1826 | 2019-07-22 |
| 1225697352 | Healthy Steps Podiatry Center, Pllc | Podiatrist | 431 E Chocolate Ave Ste 3, Hershey, PA 17033-1310 | 2019-06-12 |
| 1538646591 | Wyoming Valley Foot Associates P C | Podiatrist | 457 N Main St Ste 105, Pittston, PA 18640-2185 | 2018-07-23 |
| 1053651745 | Delta Foot and Ankle Center, LLC | Podiatrist | 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 | 2013-02-18 |
| 1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
| 1790098036 | Valley Foot and Ankle Center | Podiatrist | 395 N Hermitage Rd, Hermitage, PA 16148-3373 | 2010-07-15 |
| 1841432358 | Pain Management Specialist and Associates | Podiatrist | 322 Mall Blvd., 172, Pittsburgh, PA 15146-2229 | 2009-03-30 |
| 1104087980 | Mari Elizabeth Wargo-dorsey | Podiatrist | 9218 Route 119 Hwy S, Blairsville, PA 15717-8849 | 2008-06-24 |
| 1619164415 | Greg T. Evans Dpm PC | Podiatrist | 908 Wyoming Ave Ste C, Wyoming, PA 18644-1300 | 2007-09-26 |
| 1720270663 | Barbara A Rosenberg | Podiatrist | 6341 Sylvester St, Philadelphia, PA 19149-2837 | 2007-08-14 |
| 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.