Spa Creek Podiatry of PA, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SPA CREEK PODIATRY OF PA, LLC

Practice address

626 Jacksonville Rd Ste 101
Warminster, PA 18974-4861

Phone

(267) 691-2800

Fax

(267) 691-2830

NPI assigned

Aug 10, 2021

Last updated

Aug 11, 2021By 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

Amber Lloyd

Title

Accounts Receivable Specialist

Phone

(267) 691-2812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1508531799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CREEK PODIATRY OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SPECIALIST",
        "authorized_official_telephone_number": "267-691-2812"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solis Healthcare, LP (Warminster Hospital)
• Solis Healthcare, LP (Warminster Hospital)
• Solis Healthcare, LP (Warminster Hospital)
• Sovereign Medical Response Ambulance Inc.
• Spa Creek Dental of PA LLC
• Spa Creek Podiatry of VA, LLC
• Spirit Ambulance Inc
• Michael Dolber St. George, DPT
• Merideth Michelle Stabilito, CRNP, WHNP-BC
• Tomasz Staniszewski

• Podiatrist in Warminster, PA
• Providers in Warminster, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.