NPIMap

Organization Active NPI

Springfield Podiatry LLC

  • Foot Surgery Podiatrist
  • Drexel Hill, PA
National Provider Identifier
1033211552
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC003867L Issued in PA
Legal business name
SPRINGFIELD PODIATRY LLC
Practice address
648 Childs Ave
Drexel Hill, PA 19026-3805
Phone
(484) 521-0233
Fax
(484) 521-0235
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Julie B. Siegerman, D.P.M.
Title
Owner
Phone
(484) 521-0233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X SC003867L PA Primary

Addresses

Primary practice location

648 Childs Ave
Drexel Hill, PA 19026-3805

Mailing address

648 Childs Ave
Drexel Hill, PA 19026-3805
Phone (484) 521-0233

Other identifiers 1

IdentifierTypeStateIssuer
1329473OtherPAPA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000049 PA Part B Supplier - Clinic/Group Practice 1456249622 Receives reassigned benefits from 7 practitioners
Practice locations: Drexel Hill, PA; West Chester, PA

National Provider Directory

National Provider Directory

Locations

648 Childs Ave
Drexel Hill, PA 19026
Phone (484) 380-9989

915 Old Fern Hill Rd
Bldg C
West Chester, PA 19380
Phone (484) 723-0100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1033211552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263805",
            "telephone_number": "484-521-0233",
            "fax_number": "484-521-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263805",
            "telephone_number": "484-521-0233",
            "fax_number": "484-521-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SIEGERMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-521-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC003867L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1329473",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.