Organization Active NPI

Centre Footcare

  • Podiatrist
  • Philipsburg, PA
National Provider Identifier
1336107515
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CENTRE FOOTCARE
Practice address
503 N Front St
Philipsburg, PA 16866-2125
Phone
(814) 342-4844
Fax
(814) 342-4866
NPI assigned
May 3, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Thomas E Mollo, DPM
Title
Owner
Phone
(814) 237-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

503 N Front St
Philipsburg, PA 16866-2125

Mailing address

602 E Foster Ave
State College, PA 16801-5724
Phone (814) 237-3338

Other identifiers 4

IdentifierTypeStateIssuer
055035OtherPAHIGHMARK/BLUE SHIELD
02474800OtherPAKEYSTONE SENIOR BLUE
0015594020009MedicaidPA
275708OtherPAHEALTHAMERICA/ADVANTRA

National Provider Directory

National Provider Directory

Locations

503 N Front St
Philipsburg, PA 16866
Phone (814) 237-7885

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1336107515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E FOSTER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015724",
            "telephone_number": "814-237-3338",
            "fax_number": "814-237-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662125",
            "telephone_number": "814-342-4844",
            "fax_number": "814-342-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MOLLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-237-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "055035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE SENIOR BLUE",
            "identifier": "02474800",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015594020009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA/ADVANTRA",
            "identifier": "275708",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.