Organization Active NPI

Foot & Ankle Health Group PC

  • Podiatrist
  • Pottstown, PA
National Provider Identifier
1508039744
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT & ANKLE HEALTH GROUP PC
Practice address
2108 E High Street
Suite B
Pottstown, PA 19464-3214
Phone
(610) 326-3338
Fax
(610) 326-3992
NPI assigned
Apr 9, 2008
Organization subpart
Yes
Parent organization
FOOT & ANKLE HEALTH GROUP PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Scott R Samuelson, DPMNPI 1972555936
Title
Owner
Phone
(610) 326-3338

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2108 E High Street
Suite B
Pottstown, PA 19464-3214

Mailing address

933 N Charlotte Street
Pottstown, PA 19464-3974
Phone (610) 326-4367

Other identifiers 1

IdentifierTypeStateIssuer
423488OtherMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001665 PA Part B Supplier - Clinic/Group Practice 4587645601 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pottstown, PA; Royersford, PA; Boyertown, PA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Foot Ankle Health Group

Locations

20 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 367-6074

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1508039744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE STREET",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643974",
            "telephone_number": "610-326-4367",
            "fax_number": "610-718-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E HIGH STREET",
            "address_2": "SUITE B",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643214",
            "telephone_number": "610-326-3338",
            "fax_number": "610-326-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE HEALTH GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT & ANKLE HEALTH GROUP PC",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-326-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "423488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.