Active NPI
Eric Egelman
- Podiatrist
- Port Royal, PA
National Provider Identifier
1689851305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC 003223 L
- Legal business name
- ERIC EGELMAN
- Practice address
- 121 West 8TH St.
Port Royal, PA 17082 - Phone
- (717) 527-0015
- Fax
- (717) 527-4183
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Miles Egelman, DPM
- Title
- Owner
- Phone
- (717) 527-0015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC 003223 L | PA | Primary |
Addresses
Primary practice location
121 West 8TH St.
Port Royal, PA 17082
Mailing address
121 West 8TH St.
Port Royal, PA 17082
Phone (717) 527-0015
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02320200 | Other | PA | KEYSTONE |
| 001175146 0004 | Medicaid | PA | |
| 120833269 | Other | PA | GEISINGER HEALTH PLAN |
| 256127 | Other | PA | HIGHMARK BLUE SHIELD |
| 3514070 | Other | PA | CZGNA |
| 480027522 | Other | PA | RAILROAD MEDICARE |
| 02320200 | Other | PA | CAPITOL BLUE CROSS |
| 88127 | Other | PA | HEALTH AMERICA |
National Provider Directory
National Provider DirectoryLocations
121 W 8th St
Port Royal, PA 17082
Phone (717) 527-0015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1689851305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WEST 8TH ST.",
"city": "PORT ROYAL",
"state": "PA",
"postal_code": "17082",
"telephone_number": "717-527-0015",
"fax_number": "717-527-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WEST 8TH ST.",
"city": "PORT ROYAL",
"state": "PA",
"postal_code": "17082",
"telephone_number": "717-527-0015",
"fax_number": "717-527-4183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC EGELMAN",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "EGELMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "MILES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-527-0015",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC 003223 L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "02320200",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001175146 0004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "120833269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "256127",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CZGNA",
"identifier": "3514070",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480027522",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "02320200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "88127",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Royal, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.