Organization Active NPI

Allegany Podiatry

  • Podiatrist
  • North Warren, PA
National Provider Identifier
1417025115
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ALLEGANY PODIATRY
Practice address
2 S State St
North Warren, PA 16365-4639
Phone
(814) 726-1411
Fax
(814) 726-1418
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Philip P Dubyne, DPM
Title
President
Phone
(814) 726-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2 S State St
North Warren, PA 16365-4639

Mailing address

2 S State St
North Warren, PA 16365-4639
Phone (814) 726-1411

Other identifiers 1

IdentifierTypeStateIssuer
0016609370011MedicaidPA

National Provider Directory

National Provider Directory

Locations

2 S State St
Warren, PA 16365
Phone (814) 723-5852

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1417025115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S STATE ST",
            "city": "NORTH WARREN",
            "state": "PA",
            "postal_code": "163654639",
            "telephone_number": "814-726-1411",
            "fax_number": "814-726-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S STATE ST",
            "city": "NORTH WARREN",
            "state": "PA",
            "postal_code": "163654639",
            "telephone_number": "814-726-1411",
            "fax_number": "814-726-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "DUBYNE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-726-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016609370011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.