Individual provider Active NPI

Erigena Baze, DPM

  • Podiatrist
  • Bensalem, PA
National Provider Identifier
1285945139
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006186 Issued in PA
Practice address
2222 Bristol Pike
Bensalem, PA 19020-5210
Phone
(215) 245-1818
Fax
(215) 245-9129
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006186 PA Primary

Addresses

Primary practice location

2222 Bristol Pike
Bensalem, PA 19020-5210

Mailing address

2222 Bristol Pike
Bensalem, PA 19020-5210
Phone (215) 638-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000678 PA Practitioner - Podiatry 6204070212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center IncGroup PAC ID 4284996026, 2 clinicians

Practice addresses (Care Compare)

2222 Bristol Pike
1St Floor
Bensalem, PA 19020-5210
Phone (215) 638-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue705
Removal or shaving of skin growth210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006186PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center Inc Podiatrist CurrentSince Apr 20, 2020 Accepting new patients
Foot and Ankle Center, Inc PastSince Mar 9, 2020 Accepting new patients

Locations

2222 Bristol Pike
Bensalem, PA 19020
Phone (215) 637-3338

2222 Bristol Pike
Fl 1
Bensalem, PA 19020
Phone (215) 638-3338

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1285945139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-638-3338",
            "fax_number": "215-638-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-245-1818",
            "fax_number": "215-245-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZE",
        "first_name": "ERIGENA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.