NPIMap

Organization Active NPI

Premier Podiatry Group PC

  • Podiatrist
  • Ebensburg, PA
National Provider Identifier
1376527226
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREMIER PODIATRY GROUP PC
Practice address
3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348
Phone
(814) 472-2660
Fax
(814) 472-2666
NPI assigned
Dec 5, 2005
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Maureen Ratchford, DPMNPI 1215920624
Title
President
Phone
(814) 472-2600

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348

Mailing address

3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348
Phone (814) 472-2660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050818000225 PA Part B Supplier - Clinic/Group Practice 3779512793 Receives reassigned benefits from 2 practitioners
Practice locations: Ebensburg, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Podiatry Group2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1376527226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 62",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-2660",
            "fax_number": "814-472-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 62",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-2660",
            "fax_number": "814-472-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RATCHFORD",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-472-2600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.