Regional Foot & Ankle Center PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

REGIONAL FOOT & ANKLE CENTER PC

Practice address

1000 Meade St Ste 201
Dunmore, PA 18512-3197

Phone

(570) 963-1974

Fax

(570) 963-0762

NPI assigned

Mar 25, 2008

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elmo William Baldassari Jr., DPMNPI 1497799415

Title

Owner

Phone

(570) 963-1974

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elmo William Baldassari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dunmore, PA
  • NPI 1497799415
  Medicare reassignment NPD Authorized official
• Anthony Gabriel Brutico, DPM

  • Foot & Ankle Surgery Podiatrist
  • Honesdale, PA
  • NPI 1740787647
  NPD
• Gary Allan Hrobuchak, DPM

  • Podiatrist
  • Blakeslee, PA
  • NPI 1366505174
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1487826905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST STE 201",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123197",
            "telephone_number": "570-963-1974",
            "fax_number": "570-963-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST STE 201",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123197",
            "telephone_number": "570-963-1974",
            "fax_number": "570-963-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "BALDASSARI",
        "authorized_official_first_name": "ELMO",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-963-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016528000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellen NA Povanda I, LPN
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• Primary Care Medical Associates, P.C.
• Professional Neurological Associates PC
• Suzanne Marie Randall, LMT
• Renal Life Link Inc (Dunmore Dialysis)
• Ronald Ricci III, LPN
• Kristen Anne Ricciardi, CRNP
• Candace Lynne Riedel, AS, BA
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01180)

• Foot & Ankle Surgery Podiatrist in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.