Individual provider Active NPI

Brian Szabo, DPM

  • Foot Surgery Podiatrist
  • Hermitage, PA
National Provider Identifier
1245326495
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002909L Issued in PA
Practice address
2501 Shenango Valley Fwy
Suite 2
Hermitage, PA 16148-2536
Phone
(724) 981-1141
Fax
(724) 981-1658
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC002909L PA Primary

Addresses

Primary practice location

2501 Shenango Valley Fwy
Suite 2
Hermitage, PA 16148-2536

Mailing address

2501 Shenango Valley Fwy
Suite 2
Hermitage, PA 16148-2536
Phone (724) 981-1141

Other identifiers 1

IdentifierTypeStateIssuer
0010471460004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002909LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Szabo,DPM,PC Foot Surgery CurrentSince Nov 30, 2006 Accepting new patients
Delta Foot and Ankle Center, LLC Foot Surgery PastSince Sep 18, 2008 Accepting new patients

Locations

2501 Shenango Valley Fwy
Ste 2
Hermitage, PA 16148
Phone (724) 458-6245

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1245326495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "SUITE 2",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-981-1141",
            "fax_number": "724-981-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "SUITE 2",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-981-1141",
            "fax_number": "724-981-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZABO",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002909L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010471460004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.