Pamela S Dolber DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2842 Issued in FL

Legal business name

PAMELA S DOLBER DPM PA

Practice address

3 S Main Ave
Lake Placid, FL 33852-1806

Phone

(863) 699-0710

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Susan Dolber, DPMNPI 1023013679

Title

President

Phone

(863) 699-0710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKE PLACID PODIATRY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela S Dolber, DPM

  • Podiatrist
  • Lake Placid, FL
  • NPI 1023013679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1730149238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338521806",
            "telephone_number": "863-699-0710",
            "fax_number": "863-699-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338521806",
            "telephone_number": "863-699-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S DOLBER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "DOLBER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-699-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340365300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE PLACID PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.