Organization Active NPI

Westmoreland County Podiatry

  • Podiatrist
  • Irwin, PA
National Provider Identifier
1407963077
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC 003849L Issued in PA
Legal business name
WESTMORELAND COUNTY PODIATRY
Practice address
28 Fairwood Dr.
Irwin, PA 15642
Phone
(724) 861-4114
Fax
(724) 811-4115
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Kenneth C. Kuo, DPM
Title
Owner
Phone
(724) 861-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X SC 003849L PA Primary

Addresses

Primary practice location

28 Fairwood Dr.
Irwin, PA 15642

Mailing address

PO Box 98
Madison, PA 15663
Phone (724) 861-4114

Other identifiers 9

IdentifierTypeStateIssuer
14345OtherADVANTRA
1529521OtherGATEWAY
101617OtherUPMC
480014940OtherPALMETTO RRMC
000000060208OtherUNISON
0014301310007MedicaidPA
184704OtherHIGH MARK
5572494OtherAETNA
9933620OtherCIGNA

National Provider Directory

National Provider Directory

Locations

28 Fairwood Dr
Irwin, PA 15642
Phone (724) 834-6410

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1407963077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "MADISON",
            "state": "PA",
            "postal_code": "15663",
            "telephone_number": "724-861-4114",
            "fax_number": "724-811-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FAIRWOOD DR.",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-861-4114",
            "fax_number": "724-811-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMORELAND COUNTY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-861-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC 003849L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "14345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1529521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "101617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RRMC",
            "identifier": "480014940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000060208",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014301310007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK",
            "identifier": "184704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5572494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9933620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.