Active NPI
Westmoreland County Podiatry
- Podiatrist
- Irwin, PA
National Provider Identifier
1407963077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC 003849L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14345 | Other | ADVANTRA | |
| 1529521 | Other | GATEWAY | |
| 101617 | Other | UPMC | |
| 480014940 | Other | PALMETTO RRMC | |
| 000000060208 | Other | UNISON | |
| 0014301310007 | Medicaid | PA | |
| 184704 | Other | HIGH MARK | |
| 5572494 | Other | AETNA | |
| 9933620 | Other | CIGNA |
National Provider Directory
National Provider DirectoryLocations
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.