Organization Active NPI

West Branch Podiatric Associates

  • Foot & Ankle Surgery Podiatrist
  • Williamsport, PA
National Provider Identifier
1093850422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002714L Issued in PA
Legal business name
WEST BRANCH PODIATRIC ASSOCIATES
Practice address
1140 Sheridan St
Williamsport, PA 17701-3618
Phone
(570) 326-1400
Fax
(570) 326-2505
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary M Dincher, D.P.M.
Title
Partner
Phone
(570) 326-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC002714L PA Primary

Addresses

Primary practice location

1140 Sheridan St
Williamsport, PA 17701-3618

Mailing address

1140 Sheridan St
Williamsport, PA 17701-3618
Phone (570) 326-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093850422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SHERIDAN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013618",
            "telephone_number": "570-326-1400",
            "fax_number": "570-326-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SHERIDAN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013618",
            "telephone_number": "570-326-1400",
            "fax_number": "570-326-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRANCH PODIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DINCHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-326-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002714L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.