Active NPI
Keystone Podiatry Clinic LLC
- Foot & Ankle Surgery Podiatrist
- New Castle, PA
National Provider Identifier
1245703578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KEYSTONE PODIATRY CLINIC LLC
- Practice address
- 2714 Mercer Rd
New Castle, PA 16105-1422 - Phone
- (724) 654-6660
- Fax
- (724) 657-8330
- NPI assigned
- Jan 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie Anna Mrozek, DPM
- Title
- Owner/Member
- Phone
- (724) 654-6660
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2714 Mercer Rd
New Castle, PA 16105-1422
Mailing address
2714 Mercer Rd
New Castle, PA 16105-1422
Phone (724) 654-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2714 Mercer Rd
New Castle, PA 16105
Phone (724) 654-1257
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- New Castle, PA
- NPI 1457739815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1245703578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 MERCER RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051422",
"telephone_number": "724-654-6660",
"fax_number": "724-657-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 MERCER RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051422",
"telephone_number": "724-654-6660",
"fax_number": "724-657-8330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE PODIATRY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "MROZEK",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANNA",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "724-654-6660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.