Premier Foot and Ankle Reconstructive Surgery PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER FOOT AND ANKLE RECONSTRUCTIVE SURGERY PLLC

Practice address

2620 Constitution Blvd Ste 104
Beaver Falls, PA 15010-1278

Phone

(412) 830-7837

Fax

(412) 909-4168

NPI assigned

Jul 11, 2024

Organization subpart

No

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

Authorized official

Name

Kimberlee B HobizalNPI 1467763003

Title

Physician/Owner

Phone

(515) 664-2827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Kimberlee Brooke Hobizal, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Beaver Falls, PA
  • NPI 1467763003

  Foot & Ankle Surgery, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1447097977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CONSTITUTION BLVD STE 104",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101278",
            "telephone_number": "412-830-7837",
            "fax_number": "412-909-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CONSTITUTION BLVD STE 104",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101278",
            "telephone_number": "412-830-7837",
            "fax_number": "412-909-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT AND ANKLE RECONSTRUCTIVE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "HOBIZAL",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "515-664-2827"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pietrandrea, DO
• Wendy Susan Polochak, ATC
• Hailey Corbin Porter Koval, FNP-BC
• Satwiki Prasad, MD
• Premier Foot and Ankle PLLC
• Maurice D Prendergast, M.D.
• Pressley Ridge
• Melissa S Price, PHARMD
• Leslie J Priddy, LPTA
• Primary Health Network

• All providers in Beaver Falls, PA
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.