Active NPI
Western PA Foot and Ankle Center
- Primary Podiatric Medicine Podiatrist
- Pittsburgh, PA
National Provider Identifier
1154496891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- SC003826L
- Legal business name
- WESTERN PA FOOT AND ANKLE CENTER
- Practice address
- 1789 S Braddock Ave
Suite 365
Pittsburgh, PA 15218-1842 - Phone
- (412) 371-9330
- Fax
- (412) 371-8167
- NPI assigned
- Nov 21, 2006
- 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
- Dr. Colleen A Boyle, DPM
- Title
- Owner
- Phone
- (412) 371-9330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC003826L | PA | Primary |
Addresses
Primary practice location
1789 S Braddock Ave
Suite 365
Pittsburgh, PA 15218-1842
Mailing address
1789 S Braddock Ave
Suite 365
Pittsburgh, PA 15218-1842
Phone (412) 371-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014743320004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1789 S Braddock Ave
Ste 365
Pittsburgh, PA 15218
Phone (412) 371-9330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Blairsville, PA
- NPI 1033123526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1154496891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1789 S BRADDOCK AVE",
"address_2": "SUITE 365",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152181842",
"telephone_number": "412-371-9330",
"fax_number": "412-371-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 S BRADDOCK AVE",
"address_2": "SUITE 365",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152181842",
"telephone_number": "412-371-9330",
"fax_number": "412-371-8167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PA FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-371-9330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC003826L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014743320004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
- Shirley West, RDN
- Catherine Westbom, MD
- Cecilia Westbrook, MD, PHD
- Blythe Westendorf, OTR/L
- Katie Westermayer
- Western PA School for Blind Children
- Western PA School for the Deaf
- Western PA Search and Rescue Development Center
- Western PA Women'S Healthcare Associates
- Western Pennsylvania Anesthesia Associates, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.