Alexander Foot Care
Organization Active NPI Foot & Ankle Surgery Podiatrist · Glenside, PA
NPI 1689087991 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1689087991
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- SC006270 (PA)
- Legal business name
- ALEXANDER FOOT CARE
- Practice address
- 805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968 - Phone
- (215) 844-0308
- NPI assigned
- Jun 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Nekeisha Alexander, DPM
- Title
- Podiatrist/Owner
- Phone
- (215) 844-0308
Practitioners 2
-
Frances Sirico-Kelly, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140723001595 | PA | Part B Supplier - Clinic/Group Practice | 3375769623 |
Receives reassigned benefits from 1 practitioner Practice locations: Wyndmoor, PA |
| O20200921001802 | PA | DME Supplier - Physician - Podiatry | 3375769623 | Practice locations: Wyndmoor, PA |
National Provider Directory
Locations
6635 Chew Ave
#1
Philadelphia, PA 19119
Phone (215) 844-0308
6635 Chew Ave
Fl 1
Philadelphia, PA 19119
6635 Chew Ave
Philadelphia, PA 19119
805 E Willow Grove Ave
Ste 1B
Wyndmoor, PA 19038
Phone (215) 233-0557
805 E Willow Grove Ave
Ste 1
Wyndmoor, PA 19038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | SC006270 | PA | Yes |
Addresses
Primary practice location
805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968
Mailing address
805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968
Phone (215) 844-0308
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All providers in Glenside, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.