Active NPI
Pocono Foot & Ankle Consultants, P.C.
- Foot & Ankle Surgery Podiatrist
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- POCONO FOOT & ANKLE CONSULTANTS, P.C.
- Practice address
- 1901 Hay Ter Ste 7
Easton, PA 18042-4650 - Phone
- (570) 476-6629
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Jaggard-Lim
- Title
- Office Business Manager
- Phone
- (705) 517-7166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1901 Hay Ter Ste 7
Easton, PA 18042-4650
Mailing address
411 Dogwood Rd
Stroudsburg, PA 18360-7566
Phone (570) 517-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040819001270 | PA | Part B Supplier - Clinic/Group Practice | 3173597804 |
Receives reassigned benefits from 7 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Allentown, PA; Easton, PA; Nazareth, PA; Stroudsburg, PA |
| O20250414001611 | PA | DME Supplier - Physician - Podiatry | 3173597804 | Practice locations: Easton, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Foot & Ankle Surgery Podiatrist
- Stroudsburg, PA
- NPI 1629037007
3173597804
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Nazareth Foot & Ankle Consultants
- Foot & Ankle Surgery Podiatrist
- Nazareth, PA
- NPI 1073195848
O20040819001270
-
- Foot & Ankle Surgery Podiatrist
- Allentown, PA
- NPI 1316611270
O20040819001270
-
- Foot & Ankle Surgery Podiatrist
- Stroudsburg, PA
- NPI 1629037007
O20040819001270
National Provider Directory
National Provider Directory- Tax ID family
- Pocono Foot and Ankle C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Stroudsburg, PA
- NPI 1629037007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hellertown, PA
- NPI 1538327416
-
- Foot & Ankle Surgery Podiatrist
- Stroudsburg, PA
- NPI 1336136506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1093549230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 DOGWOOD RD",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607566",
"telephone_number": "570-517-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HAY TER STE 7",
"city": "EASTON",
"state": "PA",
"postal_code": "180424650",
"telephone_number": "570-476-6629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCONO FOOT & ANKLE CONSULTANTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "JAGGARD-LIM",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "OFFICE BUSINESS MANAGER",
"authorized_official_telephone_number": "705-517-7166"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, 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.