Individual provider Active NPI

Katherine Sydnor, DPM

  • Podiatrist
  • Kennett Square, PA
National Provider Identifier
1023048568
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003303L Issued in PA
Practice address
692 Unionville Rd
Kennett Square, PA 19348
Phone
(610) 444-6520
Fax
(610) 444-2232
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E10000092 DE
Podiatrist 213E00000X SC003303L PA Primary

Addresses

Primary practice location

692 Unionville Rd
Kennett Square, PA 19348

Mailing address

692 Unionville Rd
Kennett Square, PA 19348-1704
Phone (610) 444-6520

Other practice location 1

685 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-6520 ext. 24

Other identifiers 2

IdentifierTypeStateIssuer
0000227517MedicaidDE
001211467MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100623000077 PA Practitioner - Podiatry 8729026414 Reassigns benefits to 1 organization
I20110722000077 DE Practitioner - Podiatry 8729026414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates LLPGroup PAC ID 6901890086, 15 clinicians

Practice addresses (Care Compare)

1 Commerce Blvd
Suite 102
West Grove, PA 19390-9198
Phone (610) 345-0222

4923 Ogletown Stanton Rd
Suite 120
Newark, DE 19713-2081
Phone (302) 633-1300

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions89
Removal of nail tissue705
Removal or shaving of skin growth293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E10000092DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince May 11, 2011 Accepting new patients
Foot and Ankle Associates LLP Podiatrist CurrentSince Aug 1, 1990 Accepting new patients
Christiana Care Health Services Inc Podiatrist CurrentSince May 11, 2011 Accepting new patients
Foot and Ankle Associates LLP Podiatrist CurrentSince Aug 1, 1990 Accepting new patients

Locations

4923 Ogletown Stanton Rd
Ste 120
Newark, DE 19713
Phone (302) 633-1300

774 Christiana Rd
Ste 105
Newark, DE 19713
Phone (302) 355-0056

3801 Kennett Pike
Ste A102
Wilmington, DE 19807
Phone (302) 652-5767

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1440 Conchester Hwy
Ste 10
Boothwyn, PA 19060
Phone (610) 459-3288

1102 Baltimore Pike
Ste 202
Glen Mills, PA 19342
Phone (610) 459-3288

685 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-6520

692 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-6520

1 Commerce Blvd
Ste 102
West Grove, PA 19390
Phone (610) 345-0222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1023048568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481704",
            "telephone_number": "610-444-6520",
            "fax_number": "610-444-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348",
            "telephone_number": "610-444-6520",
            "fax_number": "610-444-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 Unionville Rd",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "19348",
            "country_code": "US",
            "telephone_number": "610-444-6520 x24",
            "fax_number": "610-444-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYDNOR",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E10000092",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003303L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000227517",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001211467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.