PETER P SIDORIAK (NPI# 1972569515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972569515 |
| Entity Type | Individual |
| Full Name | PETER P SIDORIAK |
| Credential | DPM |
| Practice Address |
1851 West End Ave Pottsville PA 17901-2050 |
| Practice Telephone | 5706223668 |
| Practice Fax Number | 5706222920 |
| Mailing Telephone | 5706223668 |
| Mailing Fax Number | 5706222920 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0200 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | PO0001394 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | SC002367L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017120040001 | 05 |
| Street Address |
1851 WEST END AVE |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705715 | Zarar Bajwa | Pediatrics | 1851 West End Ave, Pottsville, PA 17901-2050 | 2006-01-19 |
| 1497806269 | Umai Shaik | Pediatrics | 1851 West End Ave, Pottsville, PA 17901-3875 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1053695148 | Integrated Medical Group, P.C. | Podiatrist | 1626 Mount Hope Ave, Pottsville, PA 17901-1302 | 2011-10-06 |
| 1639355415 | Gary A Cortese, Dpm | Podiatrist | 1626 Mount Hope Ave, Pottsville, PA 17901-1302 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
Please comment or provide details below to improve the information on PETER P SIDORIAK.
| 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.