Organization Active NPI

Cheltenham Foot and Ankle

  • Foot Surgery Podiatrist
  • Elkins Park, PA
National Provider Identifier
1164528402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SCOO4426L Issued in PA
Legal business name
CHELTENHAM FOOT AND ANKLE
Practice address
1801 W Cheltenham Ave
Elkins Park, PA 19027-1049
Phone
(215) 635-3656
Fax
(215) 635-1220
NPI assigned
Sep 15, 2006
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. Sharmila Das-Wattley, DPMNPI 1164420907
Title
Dr
Phone
(215) 635-3656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X SCOO4426L PA Primary

Addresses

Primary practice location

1801 W Cheltenham Ave
Elkins Park, PA 19027-1049

Mailing address

1801 W Cheltenham Ave
Elkins Park, PA 19027-1049
Phone (215) 635-3656

National Provider Directory

National Provider Directory

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164528402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271049",
            "telephone_number": "215-635-3656",
            "fax_number": "215-635-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271049",
            "telephone_number": "215-635-3656",
            "fax_number": "215-635-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELTENHAM FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAS-WATTLEY",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "215-635-3656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SCOO4426L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, 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.