Active NPI
William Thomas Defeo, DPM
- Podiatrist
- Allentown, PA
National Provider Identifier
1164520524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001701L
- Practice address
- 3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4812 - Phone
- (610) 821-0444
- Fax
- (610) 820-7006
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001701L | PA | Primary |
Addresses
Primary practice location
3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4812
Mailing address
3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4812
Phone (610) 821-0444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02345900 | Other | PA | CAPITAL BLUE CROSS |
| 01188301 | Other | PA | CAPITOL BLUE CROSS |
| 0041080000 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Defeo and Lilly, PC | Podiatrist | Current | Accepting new patients |
Locations
3131 College Heights Blvd
Ste 1500
Allentown, PA 18104
Phone (610) 821-0444
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Allentown, PA
- NPI 1518069749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1164520524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "SUITE 1500",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044812",
"telephone_number": "610-821-0444",
"fax_number": "610-820-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "SUITE 1500",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044812",
"telephone_number": "610-821-0444",
"fax_number": "610-820-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFEO",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001701L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02345900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "01188301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0041080000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.