NPIMap

Organization Active NPI

Edgewood Podiatry Medical Center PC

Doing business as Associated Foot & Ankle Specialists

  • Podiatrist
  • York, PA
National Provider Identifier
1700843158
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002766L Issued in PA
Legal business name
EDGEWOOD PODIATRY MEDICAL CENTER PC
Doing business as
Associated Foot & Ankle Specialists
Practice address
3230 Eastern Blvd
York, PA 17402-3030
Phone
(717) 755-0722
Fax
(717) 757-7255
NPI assigned
Apr 28, 2006
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Thomas J Ortenzio, DPMNPI 1548228059
Title
President
Phone
(717) 755-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002766L PA Primary

Addresses

Primary practice location

3230 Eastern Blvd
York, PA 17402-3030

Mailing address

3230 Eastern Blvd
York, PA 17402-3030
Phone (717) 755-0722

Other names 1

  • Associated Foot & Ankle Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1700843158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023030",
            "telephone_number": "717-755-0722",
            "fax_number": "717-757-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023030",
            "telephone_number": "717-755-0722",
            "fax_number": "717-757-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD PODIATRY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "ORTENZIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-755-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002766L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.