NPIMap

Organization Active NPI

Central PA Podiatry Associates, PC

  • Primary Podiatric Medicine Podiatrist
  • Altoona, PA
National Provider Identifier
1740269596
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
CENTRAL PA PODIATRY ASSOCIATES, PC
Practice address
2727 Beale Ave
Suite a
Altoona, PA 16601-1705
Phone
(814) 946-1075
Fax
(814) 946-4076
NPI assigned
Jan 11, 2006
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Donald E Mrdjenovich, DPMNPI 1487632428
Title
President
Phone
(814) 946-1075

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X Primary
Radiology PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ER0200X
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

2727 Beale Ave
Suite a
Altoona, PA 16601-1705

Mailing address

2727 Beale Ave
Suite a
Altoona, PA 16601-1705
Phone (814) 946-1075

National Provider Directory

National Provider Directory

Locations

2727 Beale Ave
#A
Altoona, PA 16601
Phone (814) 946-1075

Practitioners & affiliated clinicians

Practitioners 5

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1740269596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BEALE AVE",
            "address_2": "SUITE A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011705",
            "telephone_number": "814-946-1075",
            "fax_number": "814-946-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BEALE AVE",
            "address_2": "SUITE A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011705",
            "telephone_number": "814-946-1075",
            "fax_number": "814-946-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA PODIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "MRDJENOVICH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-946-1075",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.