NPIMap

Organization Active NPI

Foot & Ankle Specialty Center, P.C.

  • Podiatrist
  • Willow Grove, PA
National Provider Identifier
1013961655
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002408L Issued in PA
Legal business name
FOOT & ANKLE SPECIALTY CENTER, P.C.
Practice address
2400 Maryland Road
Suite 30
Willow Grove, PA 19090-1748
Phone
(215) 659-4400
Fax
(215) 659-5931
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Paul Angotti, DPM
Title
President
Phone
(215) 659-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002408L PA Primary

Addresses

Primary practice location

2400 Maryland Road
Suite 30
Willow Grove, PA 19090-1748

Mailing address

2400 Maryland Road
Suite 30
Willow Grove, PA 19090-1748
Phone (215) 659-4400

Other identifiers 3

IdentifierTypeStateIssuer
0012685300004MedicaidPA
0048278000OtherPAINDEPENDENCE BLUE CROSS
CA4263OtherMEDICARE - PALMETTO GBA

National Provider Directory

National Provider Directory

Locations

2400 Maryland Rd
Ste 30
Willow Grove, PA 19090
Phone (215) 659-4400

Practitioners & affiliated clinicians

Practitioners 2

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1013961655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MARYLAND ROAD",
            "address_2": "SUITE 30",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901748",
            "telephone_number": "215-659-4400",
            "fax_number": "215-659-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MARYLAND ROAD",
            "address_2": "SUITE 30",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901748",
            "telephone_number": "215-659-4400",
            "fax_number": "215-659-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALTY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "ANGOTTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-659-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002408L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012685300004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0048278000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PALMETTO GBA",
            "identifier": "CA4263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.