Active NPI
James A Blaine, DPM
- Foot Surgery Podiatrist
- Butler, PA
National Provider Identifier
1538155494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC001648L
- Practice address
- 104 Technology Dr
Suite 103
Butler, PA 16001-1801 - Phone
- (724) 482-4192
- Fax
- (724) 482-4859
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC001648L | PA | Primary |
Addresses
Primary practice location
104 Technology Dr
Suite 103
Butler, PA 16001-1801
Mailing address
104 Technology Dr
Suite 103
Butler, PA 16001-1801
Phone (724) 482-4192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538155494 | Other | PA | NPI |
| 001468255 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot Care Associates LLC | Foot Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Butler, PA
- NPI 1346236825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1538155494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TECHNOLOGY DR",
"address_2": "SUITE 103",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011801",
"telephone_number": "724-482-4192",
"fax_number": "724-482-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 TECHNOLOGY DR",
"address_2": "SUITE 103",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011801",
"telephone_number": "724-482-4192",
"fax_number": "724-482-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAINE",
"first_name": "JAMES",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC001648L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1538155494",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001468255",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
- Kara Bisceglia, O.D.
- Christopher G Bise, PT
- Bish & Legacy Physical Therapy and Canine Rehabilitation LLC
- Randy Douglas Bish, DPT
- Mary Theresa Bittner, RN,BSN
- Elizabeth Mary Blaisse, DMD
- Leslee Joyce Blaze, CRNP
- William K. Blewitt, LCSW
- Bloom, Grow & Fourish Counseling Services, PLLC
- Carrie Lynne Blose, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.