PORTONOVA FOOT AND ANKLE SPECIALISTS LLC (NPI# 1750762043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750762043 |
| Entity Type | Organization |
| Organization Name | PORTONOVA FOOT AND ANKLE SPECIALISTS LLC |
| Practice Address |
410 Glenn Avenue Suite 201 Bloomsburg PA 17815-1200 |
| Practice Telephone | 5703872202 |
| Practice Fax Number | 5703872203 |
| Mailing Telephone | 5703872202 |
| Mailing Fax Number | 5703872203 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | DR. DAVID J PORTONOVA (OWNER) |
| Authorized Official Telephone | 5704011907 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006404 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
410 GLENN AVENUE SUITE 201 |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| 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 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
Please comment or provide details below to improve the information on PORTONOVA FOOT AND ANKLE SPECIALISTS LLC.
| 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.