Active NPI
Martin Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Lititz, PA
National Provider Identifier
1457716201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160607002613 | PA | DME Supplier - Physician - Podiatry | 7315922572 | Practice locations: Lititz, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Martin Foot Ankle Cen
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Hanover, PA
- NPI 1881921666
-
- Physical Therapist
- Lititz, PA
- NPI 1972960128
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.