Organization Active NPI

Comprehensive Foot Care Associates, PC

  • Foot Surgery Podiatrist
  • Fort Washington, PA
National Provider Identifier
1205874286
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC003322L Issued in PA
Legal business name
COMPREHENSIVE FOOT CARE ASSOCIATES, PC
Practice address
1244 Fort Washington Ave
Suite M
Fort Washington, PA 19034-1743
Phone
(215) 628-4141
Fax
(215) 628-0786
NPI assigned
Jun 3, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Ronald J Small, DPMNPI 1174500722
Title
President
Phone
(215) 628-4141

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 SC003322L PA Primary

Addresses

Primary practice location

1244 Fort Washington Ave
Suite M
Fort Washington, PA 19034-1743

Mailing address

1244 Fort Washington Ave
Suite M
Fort Washington, PA 19034-1743
Phone (215) 628-4141

Other practice location 1

1377 Old York Rd
Abington, PA 19001-3411
Phone (215) 886-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000953 PA Part B Supplier - Clinic/Group Practice 8729068473 Receives reassigned benefits from 1 practitioner
Practice locations: Abington, PA; Ft Washington, PA

National Provider Directory

National Provider Directory

Locations

1377 York Rd
Abington, PA 19001
Phone (215) 886-3338

1244 Fort Washington Ave
Ste M
Ft Washington, PA 19034
Phone (215) 628-4141

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1205874286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "SUITE M",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-628-4141",
            "fax_number": "215-628-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "SUITE M",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-628-4141",
            "fax_number": "215-628-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1377 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013411",
            "country_code": "US",
            "telephone_number": "215-886-3338",
            "fax_number": "215-886-4565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE FOOT CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-628-4141",
        "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": "SC003322L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.