Organization Active NPI

Laurel Podiatry Associates LLC

  • Podiatrist
  • Greensburg, PA
National Provider Identifier
1033193487
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002372L Issued in PA
Legal business name
LAUREL PODIATRY ASSOCIATES LLC
Practice address
235 Humphrey Road
Two Pineview Place Suite 4
Greensburg, PA 15601
Phone
(724) 832-7880
Fax
(724) 832-8172
NPI assigned
Nov 30, 2005
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Gregory C Spain, DPMNPI 1942378724
Title
Coowner
Phone
(724) 832-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002372L PA Primary

Addresses

Primary practice location

235 Humphrey Road
Two Pineview Place Suite 4
Greensburg, PA 15601

Mailing address

235 Humphrey Road
Two Pineview Place Suite 4
Greensburg, PA 15601
Phone (724) 832-7880

Other identifiers 1

IdentifierTypeStateIssuer
0008884420001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Laurel Podiatry Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

235 Humphrey Rd
Ste 4
Greensburg, PA 15601
Phone (724) 832-7880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1033193487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY ROAD",
            "address_2": "TWO PINEVIEW PLACE SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-7880",
            "fax_number": "724-832-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY ROAD",
            "address_2": "TWO PINEVIEW PLACE SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-7880",
            "fax_number": "724-832-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "SPAIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "724-832-7880",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002372L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008884420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.