Organization Active NPI

Sewickley Foot and Ankle, PC

  • Podiatric Clinic/Center
  • Sewickley, PA
National Provider Identifier
1659994283
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
SEWICKLEY FOOT AND ANKLE, PC
Practice address
1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone
(412) 741-4470
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Matthew G Martin, DPMNPI 1982126827
Title
Physician/Owner
Phone
(412) 741-4470

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1099 Ohio River Blvd
Sewickley, PA 15143-2056

Mailing address

1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone (412) 741-4470

Other identifiers 2

IdentifierTypeStateIssuer
1982126827OtherAUTHORIZED PROVIDER NPI
SCOO6872OtherPASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819000350 PA Part B Supplier - Clinic/Group Practice 8022434224 Receives reassigned benefits from 1 practitioner
Practice locations: Sewickley, PA

National Provider Directory

National Provider Directory

Locations

1099 Ohio River Blvd
Sewickley, PA 15143
Phone (412) 741-5670

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26342/brand/1/csg/1/fhir/r4

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": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1659994283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-4470",
            "fax_number": "412-741-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY FOOT AND ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "412-741-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZED PROVIDER NPI",
            "identifier": "1982126827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SCOO6872",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.