Organization Active NPI

Upper Bucks Foot & Ankle Medical Center PC

  • Podiatrist
  • Quakertown, PA
National Provider Identifier
1699895037
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005511 Issued in PA
Legal business name
UPPER BUCKS FOOT & ANKLE MEDICAL CENTER PC
Practice address
249 S West End Blvd
Quakertown, PA 18951-1160
Phone
(215) 529-6511
Fax
(215) 529-6512
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Austin L Sedicum, DPMNPI 1760559801
Title
Podiatrist and Owner
Phone
(215) 529-6511

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC005511 PA Primary

Addresses

Primary practice location

249 S West End Blvd
Quakertown, PA 18951-1160

Mailing address

249 S West End Blvd
Quakertown, PA 18951-1160
Phone (215) 529-6511

Other identifiers 13

IdentifierTypeStateIssuer
2103588000OtherPAKEYSTONE
613516600OtherDEPARTMENT OF LABOR OWCP
BS7453981OtherPAINSURANCE
063480OtherPAINSURANCE
50016192OtherPACAPITAL INDIVIDUAL
7802379OtherPAAETNA PPO
2941264OtherPAAETNA HMO
063479Q2KOtherPAINSURANCE
1417165OtherPABS INDIVIDUAL
1418639OtherPAINSURANCE
P00276464OtherPAINSURANCE
2105345000OtherPAKEYSTONE GROUP
50010317OtherPACAPITAL GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000173 PA Part B Supplier - Clinic/Group Practice 6305884420 Receives reassigned benefits from 1 practitioner
Practice locations: Quakertown, PA

National Provider Directory

National Provider Directory

Locations

249 S West End Blvd
Quakertown, PA 18951
Phone (215) 529-6511

249 S West End Blvd
Ste B
Quakertown, PA 18951
Phone (215) 529-6511

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1699895037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511160",
            "telephone_number": "215-529-6511",
            "fax_number": "215-529-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511160",
            "telephone_number": "215-529-6511",
            "fax_number": "215-529-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER BUCKS FOOT & ANKLE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SEDICUM",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST AND OWNER",
        "authorized_official_telephone_number": "215-529-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2103588000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR OWCP",
            "identifier": "613516600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "BS7453981",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "063480",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL INDIVIDUAL",
            "identifier": "50016192",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7802379",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2941264",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "063479Q2K",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS INDIVIDUAL",
            "identifier": "1417165",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1418639",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "P00276464",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE GROUP",
            "identifier": "2105345000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL GROUP",
            "identifier": "50010317",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.