Organization Active NPI

Western PA Foot and Ankle Center

  • Primary Podiatric Medicine Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1154496891
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003826L Issued in PA
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0014743320004MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.