Organization Active NPI

Nolls Footcare RP LLC

  • Podiatrist
  • New Castle, PA
National Provider Identifier
1003105305
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NOLLS FOOTCARE RP LLC
Practice address
2714 Mercer Rd
New Castle, PA 16105-1422
Phone
(724) 654-6660
Fax
(724) 657-8330
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Sandra L Noll, D.P.M.
Title
Owner
Phone
(724) 654-6660

Specialties & licenses 1

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

Addresses

Primary practice location

2714 Mercer Rd
New Castle, PA 16105-1422

Mailing address

2714 Mercer Rd
New Castle, PA 16105-1422
Phone (724) 654-6660

Other identifiers 1

IdentifierTypeStateIssuer
1015227190001MedicaidPA

National Provider Directory

National Provider Directory

Locations

3124 Wilmington Rd
Ste 106
New Castle, PA 16105
Phone (724) 656-1680

68 E Crafton Ave
Pittsburgh, PA 15205
Phone (412) 921-1660

Practitioners & affiliated clinicians

Practitioners 1

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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1003105305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 MERCER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051422",
            "telephone_number": "724-654-6660",
            "fax_number": "724-657-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 MERCER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051422",
            "telephone_number": "724-654-6660",
            "fax_number": "724-657-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLLS FOOTCARE RP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-654-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015227190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.