Organization Active NPI

Martin Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Lititz, PA
National Provider Identifier
1457716201
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MARTIN PODIATRY PC
Practice address
1042 Lititz Pike
Lititz, PA 17543-9328
Phone
(717) 757-3537
Fax
(717) 718-8674
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Jeffrey A Dunkerley, DPM
Title
President, Partner
Phone
(717) 757-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1042 Lititz Pike
Lititz, PA 17543-9328

Mailing address

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Other names 1

  • Martin Foot and Ankle Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160607002613 PA DME Supplier - Physician - Podiatry 7315922572 Practice locations: Lititz, PA

National Provider Directory

National Provider Directory
Tax ID family
Martin Foot Ankle Cen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 Eichelberger St
Ste 4
Hanover, PA 17331

2112 Harrisburg Pike
Ste 321
Lancaster, PA 17601

1038 Lititz Pike
Lititz, PA 17543

16321 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 235-7287

2069 Carlisle Rd
York, PA 17408

2003 E Market St
York, PA 17402
Phone (717) 812-4242

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1457716201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439328",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "DUNKERLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, PARTNER",
        "authorized_official_telephone_number": "717-757-3537",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.