Organization Active NPI

Kenion Podiatry Associates PC

  • Foot Surgery Podiatrist
  • Lehighton, PA
National Provider Identifier
1194744334
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002248L Issued in PA
Legal business name
KENION PODIATRY ASSOCIATES PC
Practice address
1163 Interchange Rd
Lehighton, PA 18235-9068
Phone
(610) 377-5544
Fax
(610) 377-6744
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Guy Scott Kenion, DPM
Title
President of Corporation
Phone
(610) 377-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X SC002248L PA Primary

Addresses

Primary practice location

1163 Interchange Rd
Lehighton, PA 18235-9068

Mailing address

1163 Interchange Rd
Lehighton, PA 18235-9068
Phone (610) 377-5544

Other identifiers 3

IdentifierTypeStateIssuer
03196300OtherPABLUE CROSS
90436OtherPABLUE SHIELD
090436OtherPAMEDICARE GROUP PROVIDER #

National Provider Directory

National Provider Directory

Locations

1163 Interchange Rd
Lehighton, PA 18235
Phone (610) 377-5544

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1194744334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 INTERCHANGE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359068",
            "telephone_number": "610-377-5544",
            "fax_number": "610-377-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 INTERCHANGE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359068",
            "telephone_number": "610-377-5544",
            "fax_number": "610-377-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENION PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "KENION",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "610-377-5544",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002248L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03196300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "90436",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "090436",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.