Advanced Foot & Ankle Associates

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005768 Issued in PA

Legal business name

ADVANCED FOOT & ANKLE ASSOCIATES

Practice address

1000 S. Mercer St.
4TH Floor Jameson South
New Castle, PA 16101-4672

Phone

(724) 654-5433

Fax

(724) 654-3278

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Matthew Liwski, DPM

Title

President

Phone

(724) 654-5433

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1669701413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. MERCER ST.",
            "address_2": "4TH FLOOR JAMESON SOUTH",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-654-5433",
            "fax_number": "724-654-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. MERCER ST.",
            "address_2": "4TH FLOOR JAMESON SOUTH",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-654-5433",
            "fax_number": "724-654-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT & ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LIWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-654-5433",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024235280001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "DQ0498",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2141024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in New Castle, PA
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.