Peter P Sidoriak

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PETER P SIDORIAK

Practice address

1851 W End Ave
Pottsville, PA 17901-2050

Phone

(570) 622-3668

Fax

(570) 622-2920

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter P Sidoriak, DPM

Title

Podiatrist

Phone

(570) 622-3668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1356523286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-622-3668",
            "fax_number": "570-622-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-622-3668",
            "fax_number": "570-622-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER P SIDORIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SIDORIAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "570-622-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Pedersen, DO
• Denise Peifer
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Jamison Perkins, DPT
• Robert Peters III, M.D.
• Rebecca Petlansky, MD
• Leigh Ann Pflueger, RN
• PH Anesthesia Associates PC
• Alexis Louise Phillips, DPT

• Durable Medical Equipment & Medical Supplies in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.