John M Fidler

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOHN M FIDLER

Doing business as

Calvary Field Storage

Practice address

26 Baltimore St
Martin Family Shoes
Gettysburg, PA 17325

Phone

(717) 334-1810

Fax

(717) 334-1810

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

John Martin FidlerNPI 1164542437

Title

Owner

Phone

(717) 334-1810

Specialties & licenses 1

Addresses

Other names 1

• Calvary Field Storage Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Martin Fidler, OWNER OF SHOE STORE

  • Prosthetic/Orthotic Supplier
  • Gettysburg, PA
  • NPI 1164542437
  NPD (past) Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1194907998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BALTIMORE ST",
            "address_2": "MARTIN FAMILY SHOES",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "717-334-1810",
            "fax_number": "717-334-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BALTIMORE ST",
            "address_2": "MARTIN FAMILY SHOES",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "717-334-1810",
            "fax_number": "717-334-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M FIDLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-334-1810"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvary Field Storage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Jacobs
• Scott M Jaeger, M.D.
• Mary J. Jaromahum-Flaherty, M.D.
• Shanda Richelle Jefferson, LPC, NCC,ED.D
• Jennifer Rick Therapy LLC
• Lavonne Lynn Johnson, CRNP
• Matthew W Johnson, BA
• Johnson'S Pharmaceutical Services Inc
• Marianne Debruijn Jolin, CNM
• Douglas Roscoe Jones, MD

• Prosthetic/Orthotic Supplier in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.