Advent Foot and Ankle Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005660 Issued in PA

Legal business name

ADVENT FOOT AND ANKLE INC.

Practice address

107 W Centre St
Mahanoy City, PA 17948-2605

Phone

(570) 449-8670

NPI assigned

Dec 12, 2007

Last updated

Oct 14, 2008By 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. Peter James Johnson, D.P.M.NPI 1114966264

Title

President/Sole Shareholder

Phone

(570) 449-8670

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advent Foot and Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Ashland, PA
  • NPI 1861660862
  NPPES parent name
• Advent Foot and Ankle Inc.

  • Foot & Ankle Surgery Podiatrist
  • Tamaqua, PA
  • NPI 1134397136
  NPPES parent name

Practitioners 1

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.

• Peter James Johnson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mahanoy City, PA
  • NPI 1114966264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1487837498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OAK ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292110",
            "telephone_number": "570-249-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482605",
            "telephone_number": "570-449-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT FOOT AND ANKLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "570-449-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016034230002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PA",
            "identifier": "2011068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelray Family Medical LLC
• Paige Baker, CADC
• Kathleen Ann Biblehimer, LPC
• Valerie Ann Breznak, PHARMD
• Beth A Brown, PHARM D.

• Foot & Ankle Surgery Podiatrist in Mahanoy City, PA
• Providers in Mahanoy City, 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 Oct 14, 2008; 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.