NPIMap

Organization Active NPI

Keystone Podiatric Medical Associates

  • Foot & Ankle Surgery Podiatrist
  • Harrisburg, PA
National Provider Identifier
1497810550
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KEYSTONE PODIATRIC MEDICAL ASSOCIATES
Practice address
845 Sir Thomas Court
Suite 2
Harrisburg, PA 17109
Phone
(717) 652-5811
Fax
(717) 541-1161
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Richard Allen Rogers, DPMNPI 1346227063
Title
President Corporation
Phone
(717) 677-9288

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

845 Sir Thomas Court
Suite 2
Harrisburg, PA 17109

Mailing address

PO Box 526
Biglerville, PA 17307-0526
Phone (717) 677-9288

Other identifiers 1

IdentifierTypeStateIssuer
0016004560014MedicaidPA

Other names 1

  • Londonderry Foot & Ankle Center Other name

National Provider Directory

National Provider Directory

Locations

4303 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 652-1876

Practitioners & affiliated clinicians

Practitioners 8

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1497810550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173070526",
            "telephone_number": "717-677-9288",
            "fax_number": "717-677-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS COURT",
            "address_2": "SUITE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-652-5811",
            "fax_number": "717-541-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PODIATRIC MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION",
        "authorized_official_telephone_number": "717-677-9288",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016004560014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Londonderry Foot & Ankle Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.