NPIMap

Organization Active NPI

Achilles Foot Center PSC

  • Podiatrist
  • Athens, PA
National Provider Identifier
1003012808
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002780L Issued in PA
Legal business name
ACHILLES FOOT CENTER PSC
Practice address
417 N Main St
Athens, PA 18810-1817
Phone
(570) 888-2122
Fax
(570) 882-8451
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemarie Rynkiewicz, D.P.M.
Title
Owner
Phone
(570) 888-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002780L PA Primary

Addresses

Primary practice location

417 N Main St
Athens, PA 18810-1817

Mailing address

417 N Main St
Athens, PA 18810-1817
Phone (570) 888-2122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1003012808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "570-888-2122",
            "fax_number": "570-882-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "570-888-2122",
            "fax_number": "570-882-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES FOOT CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "RYNKIEWICZ",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-888-2122",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002780L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.