Individual provider Active NPI

Edward Chairman, MD

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1346313780
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC001337-L Issued in PA
Practice address
1800 Lombard St
Pepper 604
Philadelphia, PA 19146-8400
Phone
(215) 732-0200
Fax
(215) 732-0200
NPI assigned
Nov 15, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC001337-L PA Primary

Addresses

Primary practice location

1800 Lombard St
Pepper 604
Philadelphia, PA 19146-8400

Mailing address

1800 Lombard St
Pepper 604
Philadelphia, PA 19146-8400
Phone (215) 732-0200

Other identifiers 1

IdentifierTypeStateIssuer
0005008680001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000643 PA Practitioner - Podiatry 0042380859 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC001337-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. H. D. Schoenhaus , P.C. Foot & Ankle Surgery CurrentSince Feb 7, 2018 Accepting new patients
The Foot Center Foot & Ankle Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

1740 South St
Ste 500
Philadelphia, PA 19146
Phone (215) 546-1618

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1346313780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST",
            "address_2": "PEPPER 604",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-732-0200",
            "fax_number": "215-732-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST",
            "address_2": "PEPPER 604",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-732-0200",
            "fax_number": "215-732-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIRMAN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001337-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005008680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.