Allan S Hetelson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001286L Issued in PA

Practice address

2222 Bristol Pike
Bensalem, PA 19020-5210

Phone

(215) 638-3338

Fax

(215) 638-3030

NPI assigned

Oct 25, 2005

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foot and Ankle Center, Inc

  • Foot & Ankle Surgery Podiatrist
  • Bensalem, PA
  • NPI 1144284605
  Authorized official Same address or phone

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1598755233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-638-3338",
            "fax_number": "215-638-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-638-3338",
            "fax_number": "215-638-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETELSON",
        "first_name": "ALLAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001286L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0060483000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005050690001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1033250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Heise, CRNP
• Kimberly Marie Heitzman
• Tecniqua Henry, CEO
• Amanda Hernandez, MA
• Jennifer Renae Hesbol, MFT
• Pamela Ann Hibbs
• Alan Sander Hilibrand, M.D.
• Robert W Hilkene, DDS
• HNB Home Care LLC
• Chloe Hoagland

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.