Richard Chwastiak, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002158L Issued in PA

Practice address

617 E Broad St
Tamaqua, PA 18252-2206

Phone

(570) 668-5170

Fax

(570) 668-5171

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 1

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.

• Nicole Chwastiak, DPM

  • Foot Surgery Podiatrist
  • Tamaqua, PA
  • NPI 1649670803
  Medicare reassignment

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

• Richard Chwastiak

  • Podiatrist
  • Tamaqua, PA
  • NPI 1205807815
  Authorized official Same address or phone

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1083615918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522206",
            "telephone_number": "570-668-5170",
            "fax_number": "570-668-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522206",
            "telephone_number": "570-668-5170",
            "fax_number": "570-668-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWASTIAK",
        "first_name": "RICHARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002158L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "153345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Link Home Care Services, LLC
• Cares Community and Residential Empowerment Services Inc
• Carroll Dental LLC
• Amber Marie Carroll, DMD
• Nicole Chwastiak, DPM
• Commonwealth Emergency Services (Commonwealth EMS)
• Rachel Connely, MS, ATC, LAT
• Laura Josephine D'Amato, PA-C
• Douglas John Dennison, PT
• Matthew Scott Derr, PT, DPT

• Podiatrist in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.