Organization Active NPI

Horsham Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Horsham, PA
National Provider Identifier
1649890724
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HORSHAM FOOT AND ANKLE
Practice address
499 Horsham Rd Ste C
Horsham, PA 19044-2070
Phone
(215) 443-5709
Fax
(215) 443-5716
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Ramon C Lopez, DPMNPI 1922042589
Title
Owner
Phone
(215) 443-5709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

499 Horsham Rd Ste C
Horsham, PA 19044-2070

Mailing address

10 Catharine St
Philadelphia, PA 19147-4312
Phone (215) 443-5709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911002814 PA Part B Supplier - Clinic/Group Practice 5597183202 Receives reassigned benefits from 1 practitioner
Practice locations: Horsham, PA

National Provider Directory

National Provider Directory

Locations

499 Horsham Rd
Horsham, PA 19044
Phone (215) 443-5709

499 Horsham Rd
Ste C
Horsham, PA 19044
Phone (215) 443-5709

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1649890724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CATHARINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474312",
            "telephone_number": "215-443-5709",
            "fax_number": "215-443-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 HORSHAM RD STE C",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442070",
            "telephone_number": "215-443-5709",
            "fax_number": "215-443-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSHAM FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-443-5709",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.