Active NPI
Ronald William Channell
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1659328672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002419-L
- Practice address
- 2314 E York St
Philadelphia, PA 19125-2120 - Phone
- (215) 634-0525
- Fax
- (215) 634-8402
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002419-L | PA | Primary |
Addresses
Primary practice location
2314 E York St
Philadelphia, PA 19125-2120
Mailing address
2314 E York St
Philadelphia, PA 19125-2120
Phone (215) 634-0525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061129000333 | PA | Practitioner - Podiatry | 1850399890 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2314 E York St
Philadelphia, PA 19125-2120
Phone (215) 634-0525
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermdox Dermatology Centers PC | Podiatrist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1659328672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252120",
"telephone_number": "215-634-0525",
"fax_number": "215-634-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252120",
"telephone_number": "215-634-0525",
"fax_number": "215-634-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANNELL",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002419-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.