East Berlin Foot and Ankle Center,PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004269L Issued in PA

Legal business name

EAST BERLIN FOOT AND ANKLE CENTER,PC

Practice address

201 Harrisburg St
East Berlin, PA 17316-8810

Phone

(717) 259-8637

Fax

(717) 259-8448

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Todd Anthony Zeno, DPM

Title

President

Phone

(717) 259-8637

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• East Berlin Foot and Ankle Center, PC

  • Non-Pharmacy Dispensing Site
  • East Berlin, PA
  • NPI 1760758460
  NPPES parent name

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1184795023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HARRISBURG ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173168810",
            "telephone_number": "717-259-8637",
            "fax_number": "717-259-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARRISBURG ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173168810",
            "telephone_number": "717-259-8637",
            "fax_number": "717-259-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BERLIN FOOT AND ANKLE CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "ZENO",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-259-8637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004269L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena Diane Cockley, DDS
• Commonhealth Orthopedic Physical Therapy
• Kari Cover, LPC
• Philip M Derienzo, PHARM D
• East Berlin Foot and Ankle Center, PC
• East Berlin RX LLC
• East Berlin RX LLC
• Stephanie Jane Ellwood, DO
• Stanley Joseph Falenski, RPH
• Melissa Jane Gammie, PA-C

• Podiatrist in East Berlin, PA
• Providers in East Berlin, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.