Edward J Gaydos DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003058L Issued in PA

Legal business name

EDWARD J GAYDOS DPM PC

Practice address

111 Lilly St
Schuylkill Haven, PA 17972-1153

Phone

(570) 385-1190

Fax

(570) 385-1190

NPI assigned

Nov 13, 2007

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward J Gaydos, DPM, PCNPI 1306876453

Title

Owner

Phone

(570) 385-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Edward J Gaydos, DPM

  • Podiatrist
  • Schuylkill Haven, PA
  • NPI 1306876453
  Medicare reassignment NPD Authorized official
• Jude M Gaydos, DMD

  • General Practice Dentistry
  • Schuylkill Haven, PA
  • NPI 1407059918
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1255511705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LILLY ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721153",
            "telephone_number": "570-385-1190",
            "fax_number": "570-385-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LILLY ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721153",
            "telephone_number": "570-385-1190",
            "fax_number": "570-385-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J GAYDOS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "GAYDOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-385-1190",
        "authorized_official_credential": "DPM, PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003058L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Clifford, RN
• County of Schuylkill (Schuylkill County Nursing Home - Rest Haven)
• Lauren Dove, FNP-C
• Dr. Donald L. Borger
• Darren Eric Dreher, D.C.
• Ella Margaret Eshleman, P.T.
• Mitzie Tanjutco Espinosa, PT
• Krista J Essler, LAC
• Jeffrey Scott Faust, MPT
• Elizabeth Santos Fisher, L MFT

• Podiatrist in Schuylkill Haven, PA
• Providers in Schuylkill Haven, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.