Fleetwood Footcare Center, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FLEETWOOD FOOTCARE CENTER, PC

Doing business as

Fleetwood Foot and Ankle Center

Practice address

12 Lenhart Rd
Fleetwood, PA 19522-8613

Phone

(610) 944-6537

Fax

(610) 944-8152

NPI assigned

Aug 11, 2006

Reactivated

Jun 4, 2008

Last updated

Jun 6, 2019By 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

Kathy L Geist

Title

Credentialing

Phone

(610) 944-6537

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Fleetwood Foot and Ankle Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fleetwood Footcare Center, PC

  dba Bernville Footcare Center

  • Durable Medical Equipment & Medical Supplies
  • Bernville, PA
  • NPI 1205399599

  3779566005

  Same PAC ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fleetwood Footcare Center, PC

  dba Birdsboro Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Birdsboro, PA
  • NPI 1164985438
  NPPES parent name
• Fleetwood Footcare Center, PC

  dba Bernville Footcare Center

  • Durable Medical Equipment & Medical Supplies
  • Bernville, PA
  • NPI 1205399599
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clayton Rhine Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fleetwood, PA
  • NPI 1306893730
  Medicare reassignment Care Compare group NPD
• Matthew David Sowa, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fleetwood, PA
  • NPI 1578550877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1598776833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LENHART RD",
            "address_2": "PO BOX 425",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195220425",
            "telephone_number": "610-944-6537",
            "fax_number": "610-944-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LENHART RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195228613",
            "telephone_number": "610-944-6537",
            "fax_number": "610-944-8152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Furnace St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Birdsboro",
            "state": "PA",
            "postal_code": "195082057",
            "country_code": "US",
            "telephone_number": "610-582-3668",
            "fax_number": "610-404-1644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7187 Bernville Rd",
            "address_purpose": "LOCATION",
            "city": "Bernville",
            "state": "PA",
            "postal_code": "195068624",
            "country_code": "US",
            "telephone_number": "610-488-8080",
            "fax_number": "610-488-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLEETWOOD FOOTCARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-06-06",
        "deactivation_date": "2008-05-05",
        "reactivation_date": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "GEIST",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "610-944-6537"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016356050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1602963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "02340700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CMS",
            "identifier": "02340700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fleetwood Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Ann Finlan, MSN, NP-C
• Fleetwood Area School District
• Fleetwood Chiropractic & Wellness Center, PC
• Fleetwood Dental Professional Corporation
• Fleetwood Family Dental Care LLC
• Fleetwood Vol Fire Co 1
• Ashley Vellela Flor, PSYD
• Maria Flores
• Francis Foley, MD
• Deidre Folk

• Foot & Ankle Surgery Podiatrist in Fleetwood, PA
• Providers in Fleetwood, 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 Jun 6, 2019; 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.