Individual provider Active NPI

Joan Theresa Walsh-Philip, D.P.M.

  • Podiatrist
  • Washington Crossing, PA
National Provider Identifier
1053490458
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002793L Issued in PA
Practice address
1226 Lord Sterling Rd
Washington Crossing, PA 18977-1338
Phone
(215) 493-0784
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002793L PA Primary

Addresses

Primary practice location

1226 Lord Sterling Rd
Washington Crossing, PA 18977-1338

Mailing address

1226 Lord Sterling Rd
Washington Crossing, PA 18977-1338
Phone (215) 493-0784

Other practice location 1

406 Crabtree Dr
Levittown, PA 19055-1644
Phone (215) 946-9468

Other identifiers 1

IdentifierTypeStateIssuer
145426OtherPAPABS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000031 PA Practitioner - Podiatry 7214057223 Practice locations: Washington Crossing, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1226 Lord Sterling Rd
Washington Crossing, PA 18977-1338
Phone (215) 493-0784

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions31
Removal of nail tissue611
Removal or shaving of skin growth503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joan T Walsh D P M Podiatrist CurrentSince Jun 15, 2009 Accepting new patients

Locations

406 Crabtree Dr
Levittown, PA 19055
Phone (215) 946-9468

1226 Lord Sterling Rd
Wshngtn Xing, PA 18977
Phone (215) 439-0784

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1053490458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 LORD STERLING RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771338",
            "telephone_number": "215-493-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 LORD STERLING RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771338",
            "telephone_number": "215-493-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Crabtree Dr",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190551644",
            "country_code": "US",
            "telephone_number": "215-946-9468",
            "fax_number": "215-946-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH-PHILIP",
        "first_name": "JOAN",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002793L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "145426",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Crossing, PA

Sources for this page

Verify at the official NPI Registry.