Bangor Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004468L Issued in PA

Legal business name

BANGOR PODIATRY LLC

Practice address

129 N 11TH St
Bangor, PA 18013-1603

Phone

(610) 588-6621

Fax

(610) 588-6307

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cheralyn Perkins, DPMNPI 1053400804

Title

President

Phone

(610) 588-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ3 enrollments

Enrollment records 3

Tax ID family

Bangor Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bangor Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Bethlehem, PA
  • NPI 1124473426
  NPD tax ID

Locations

Practitioners 7

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

• Cheralyn Suzanne Perkins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bangor, PA
  • NPI 1053400804
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Eberly, DPM

  • Podiatrist
  • Bangor, PA
  • NPI 1588657985
  Medicare reassignment Care Compare group NPD
• Kathleen Anne Hope, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bangor, PA
  • NPI 1144590563

  NJ

  Medicare reassignment Care Compare group NPD
• Selina Christina Kaminski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Duryea, PA
  • NPI 1811481492
  Medicare reassignment Care Compare group NPD
• David A Scalzo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Duryea, PA
  • NPI 1477508000
  Medicare reassignment Care Compare group NPD
• Edward Douglas Hutson Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Easton, PA
  • NPI 1851532402
  Medicare reassignment NPD
• David S Bodmer, DPM

  • Podiatrist
  • Selinsgrove, PA
  • NPI 1518050590
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1366491938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131526",
            "telephone_number": "610-588-6621",
            "fax_number": "610-588-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 11TH ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131603",
            "telephone_number": "610-588-6621",
            "fax_number": "610-588-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CHERALYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-588-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004468L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Vaughan Appleton
• Elizabeth Rafiha Araman, M.S. CCC-SLP
• Bangor Area School District
• Bangor Chiropractic, Inc.
• Bangor Medical Center Inc PC
• Patricia G Baranowski, MA, CADC
• Michael Thomas Bauer, D.C.
• Joyce Anna Beery, PHARMD
• Colleen Berlen
• Susan B Bina, PT

• Foot & Ankle Surgery Podiatrist in Bangor, PA
• Providers in Bangor, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.