Susquehanna Valley Foot and Ankle Center, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004004L Issued in PA

Legal business name

SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC

Practice address

3120 N Old TRL Ste a
Shamokin Dam, PA 17876-9428

Phone

(570) 374-3668

Fax

(570) 374-7306

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Darla R Miller, DPMNPI 1427032382

Title

Physician, President

Phone

(570) 374-3668

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darla R Miller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shamokin Dam, PA
  • NPI 1427032382
  Medicare reassignment Care Compare group NPD Authorized official
• Angelina Marie Colton-Slotter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shamokin Dam, PA
  • NPI 1194709493
  Medicare reassignment Care Compare group NPD
• Hallie Ann Shuler, D.P.M.

  • Foot Surgery Podiatrist
  • Muncy, PA
  • NPI 1306833017
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1578627626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N OLD TRL STE A",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769428",
            "telephone_number": "570-374-3668",
            "fax_number": "570-374-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 N OLD TRL STE A",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769428",
            "telephone_number": "570-374-3668",
            "fax_number": "570-374-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY FOOT AND ANKLE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN,  PRESIDENT",
        "authorized_official_telephone_number": "570-374-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004004L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004206R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015721370004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015896440005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Linn Smith
• Katelynn Sola
• Kareema Rhonda Stansbury
• Robin Lee Steele, PT
• Nikki Marie Styer
• Susquehanna Valley Prosthetics & Orthotics Inc
• Kristi Swartz
• Brittany Nicole Swope
• The Bernstein Hilliker Hartzell Optical Shop
• Britney Toborg

• Foot & Ankle Surgery Podiatrist in Shamokin Dam, PA
• Providers in Shamokin Dam, 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 May 26, 2023; 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.