NPIMap

Organization Active NPI

Keystone Foot and Ankle Associates, PC

  • Podiatrist
  • Springfield, PA
National Provider Identifier
1316045396
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002791L Issued in PA
Legal business name
KEYSTONE FOOT AND ANKLE ASSOCIATES, PC
Practice address
100 W Sproul Rd
Suite 122
Springfield, PA 19064-2033
Phone
(610) 604-0734
Fax
(610) 604-0846
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
William M Urbas, DPMNPI 1891743886
Title
Owner
Phone
(610) 604-0734

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002791L PA Primary

Addresses

Primary practice location

100 W Sproul Rd
Suite 122
Springfield, PA 19064-2033

Mailing address

100 W Sproul Rd
Suite 122
Springfield, PA 19064-2033
Phone (610) 604-0734

Other identifiers 1

IdentifierTypeStateIssuer
01287625MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040809000231 PA Part B Supplier - Clinic/Group Practice 3870565195 Receives reassigned benefits from 9 practitioners
Practice locations: Media, PA; Springfield, PA
O20130215000474 PA DME Supplier - Physician - Podiatry 3870565195 Practice locations: Springfield, PA

National Provider Directory

National Provider Directory

Locations

1008 N Providence Rd
Media, PA 19063
Phone (610) 604-0734

100 W Sproul Rd
Springfield, PA 19064
Phone (610) 619-8291

100 W Sproul Rd
Ste 122
Springfield, PA 19064
Phone (610) 604-0734

190 W Sproul Rd
Rm 122
Springfield, PA 19064
Phone (610) 604-0734

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1316045396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD",
            "address_2": "SUITE 122",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-604-0734",
            "fax_number": "610-604-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPROUL RD",
            "address_2": "SUITE 122",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642033",
            "telephone_number": "610-604-0734",
            "fax_number": "610-604-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE FOOT AND ANKLE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "URBAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-604-0734",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002791L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287625",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.