Organization Active NPI

Johnstown Foot Specialists

  • Podiatrist
  • Johnstown, PA
National Provider Identifier
1104893882
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JOHNSTOWN FOOT SPECIALISTS
Practice address
244 Walnut St
Suite 101
Johnstown, PA 15901-2930
Phone
(814) 535-3287
Fax
(814) 535-3287
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Gerard John Zaccheo, DPM
Title
General Partner
Phone
(814) 535-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

244 Walnut St
Suite 101
Johnstown, PA 15901-2930

Mailing address

244 Walnut St
Suite 101
Johnstown, PA 15901-2930
Phone (814) 535-3287

Other identifiers 1

IdentifierTypeStateIssuer
0015341900004MedicaidPA

National Provider Directory

National Provider Directory

Locations

244 Walnut St
Ste 101
Johnstown, PA 15901
Phone (814) 535-3287

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1104893882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012930",
            "telephone_number": "814-535-3287",
            "fax_number": "814-535-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012930",
            "telephone_number": "814-535-3287",
            "fax_number": "814-535-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTOWN FOOT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "ZACCHEO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "814-535-3287",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015341900004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.