TWIN RIVERS PODIATRY P A (NPI# 1770531139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770531139 |
| Entity Type | Organization |
| Organization Name | TWIN RIVERS PODIATRY P A |
| Practice Address |
25 South Broad St Nazareth PA 18064-2167 |
| Mailing Address |
25 South Broad St Ste 103 Nazareth PA 18064-2167 |
| Practice Telephone | 6107591326 |
| Practice Fax Number | 6107592773 |
| Mailing Telephone | 6107591326 |
| Mailing Fax Number | 6107892773 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | JOHN RAFELTI (OWNER/DR) |
| Authorized Official Telephone | 6105333543 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE PART B | CI7721 | 01 |
| PA | RAILROAD MEDICARE PART B | CN5074 | 01 |
| Street Address |
25 SOUTH BROAD ST |
| City | NAZARETH |
| State | PA |
| Zip Code | 18064-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373362 | Eric Scott Klein | Social Worker | 299 Industrial Drive, Nazareth, PA 18064 | 2018-04-19 |
| 1649798067 | Keith Anthony Vanic | Specialist/Technologist | 5992 Kesslersville Road, Nazareth, PA 18064 | 2017-09-06 |
| 1609289206 | Timothy Hicks | Pharmacist | 2155 Oak Rd., Nazareth, PA 18064 | 2014-06-11 |
| 1427200443 | Lois Ann Steward | Occupational Therapist | 5695 Sullivan Trail, Nazareth, PA 18064 | 2008-10-22 |
| 1013137686 | Nadene Serano | Physical Therapy Assistant | Gracedale Nursing, Gracedale Avenue, Nazareth, PA 18064 | 2007-04-26 |
| 1780701896 | Loreley D Stewart | Physical Therapy Assistant | Gracedale Nursing Home, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1548387780 | Shyla Ananda Bhat | Physical Therapy Assistant | Gracedale, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1992820005 | Novie Sol Soluta | Physical Therapist | Gracedale Ave., Gracedale Northampton County Nursing Home, Nazareth, PA 18064 | 2007-03-20 |
| 1336272582 | Danielle Nichole Berg | Occupational Therapist | 2 Gracedale Ave, Gracedale Skilled Nursing Facility, Nazareth, PA 18064 | 2007-03-14 |
| 1083784532 | Barry Merchant | Chiropractor | 106 South Main Street, Nazareth, PA 18064 | 2006-11-09 |
| Find all providers in zip 18064 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851570659 | David H. Warner, D.p.m., II, LLC | Podiatrist | 198 S Green St, Nazareth, PA 18064-2013 | 2007-10-29 |
| 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 | ||||
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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.