Organization Active NPI

Wargo Podiatry LLC

  • Public Medicine Podiatrist
  • Blairsville, PA
National Provider Identifier
1235759804
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Medicine PodiatristTaxonomy code 213EP0504X
Legal business name
WARGO PODIATRY LLC
Practice address
9218 Route 119 Hwy S
Blairsville, PA 15717-8849
Phone
(724) 762-7621
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Dr. Mari Wargo, DPM
Title
Owner
Phone
(724) 762-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP0504X Primary

Addresses

Primary practice location

9218 Route 119 Hwy S
Blairsville, PA 15717-8849

Mailing address

9218 Route 119 Hwy S
Blairsville, PA 15717-8849
Phone (724) 762-7621

National Provider Directory

National Provider Directory

Locations

9218 Route 119 Hwy S
Blairsville, PA 15717
Phone (724) 248-9011

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1235759804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 ROUTE 119 HWY S",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178849",
            "telephone_number": "724-762-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 ROUTE 119 HWY S",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178849",
            "telephone_number": "724-762-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARGO PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "WARGO",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-762-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.