Organization Active NPI

Laurel Podiatry Associates LLC

  • Podiatrist
  • Greensburg, PA
National Provider Identifier
1073725370
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LAUREL PODIATRY ASSOCIATES LLC
Practice address
235 Humphrey Road
Suite 4 Two Pineview Place
Greensburg, PA 15601
Phone
(724) 832-7880
Fax
(724) 832-8172
NPI assigned
May 7, 2007
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
Partner
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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 8

IdentifierTypeStateIssuer
1460887OtherPABEST HEALTHCARE
256974OtherPABLUE SHIELD
480018318OtherPAPRUDENTIAL AARP GROUP
E000OtherPAUPMC
1003950OtherPAGATEWAY
1739661MedicaidPA
14897718OtherPAUNITED MINE WORKERS
56409OtherPAMEDPLUS THREE RIVERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050413001034 PA Part B Supplier - Clinic/Group Practice 7618914359 Receives reassigned benefits from 1 practitioner
Practice locations: Greensburg, PA; Somerset, PA; Mount Pleasant, PA
O20100930028319 PA DME Supplier - Physician - Podiatry 7618914359 Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory
Tax ID family
Laurel Podiatry Associa2 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 2
Greensburg, PA 15601
Phone (724) 832-7880

609 N Church St
Ste 2
Mt Pleasant, PA 15666
Phone (724) 547-3668

100 Bessemer Rd
#B
Mt Pleasant, PA 15666
Phone (724) 547-3668

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1073725370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HUMPHREY ROAD",
            "address_2": "SUITE 4 TWO PINEVIEW PLACE",
            "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": "SUITE 4 TWO PINEVIEW PLACE",
            "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": "2007-05-07",
        "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": "PARTNER",
        "authorized_official_telephone_number": "724-832-7880",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEST HEALTHCARE",
            "identifier": "1460887",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "256974",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRUDENTIAL AARP GROUP",
            "identifier": "480018318",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "E000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1003950",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1739661",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "14897718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS THREE RIVERS",
            "identifier": "56409",
            "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.
  • 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.