Organization Active NPI

Mount Carmel Family Foot Care, PC

  • Podiatric Clinic/Center
  • Mount Carmel, PA
National Provider Identifier
1467826107
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
SC006059 Issued in PA
Legal business name
MOUNT CARMEL FAMILY FOOT CARE, PC
Practice address
50 W 2ND St
Mount Carmel, PA 17851-1354
Phone
(570) 339-5024
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dr. Caroline G. Iglio, DPMNPI 1336448042
Title
Podiatrist
Phone
(215) 205-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X SC006059 PA Primary

Addresses

Primary practice location

50 W 2ND St
Mount Carmel, PA 17851-1354

Mailing address

27 Crestmont Cir
Bloomsburg, PA 17815-7706
Phone (570) 339-5024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128000765 PA Part B Supplier - Clinic/Group Practice 9335442185 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Carmel, PA

National Provider Directory

National Provider Directory

Locations

50 W 2nd St
Mount Carmel, PA 17851
Phone (570) 339-5024

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1467826107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CRESTMONT CIR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157706",
            "telephone_number": "570-339-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 2ND ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511354",
            "telephone_number": "570-339-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL FAMILY FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "IGLIO",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "215-205-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC006059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.