NPIMap

Organization Active NPI

Tri-State Podiatry Associates,PA

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1245427301
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000060 Issued in DE
Legal business name
TRI-STATE PODIATRY ASSOCIATES,PA
Practice address
2217 Old Orchard Rd
Wilmington, DE 19810-4153
Phone
(302) 475-5285
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Howard J Kattler, DPM
Title
Corp. President
Phone
(302) 475-5285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E1-0000060 DE Primary

Addresses

Primary practice location

2217 Old Orchard Rd
Wilmington, DE 19810-4153

Mailing address

2217 Old Orchard Rd
Wilmington, DE 19810-4153
Phone (302) 475-5285

Other identifiers 1

IdentifierTypeStateIssuer
1871644708MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1245427301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 OLD ORCHARD RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104153",
            "telephone_number": "302-475-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 OLD ORCHARD RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104153",
            "telephone_number": "302-475-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PODIATRY ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "KATTLER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORP. PRESIDENT",
        "authorized_official_telephone_number": "302-475-5285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871644708",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.