Active NPI
Central PA Podiatry Associates, PC
- Primary Podiatric Medicine Podiatrist
- Altoona, PA
National Provider Identifier
1740269596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- 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
- 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
- Donald E Mrdjenovich, DPM
- Title
- President
- Phone
- (814) 946-1075
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary | ||
| Radiology Podiatrist | 213ER0200X | |||
| Foot & Ankle Surgery Podiatrist | 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
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0857830000 | Other | INDEPENDENCE PPO BLUE GRP | |
| 1115690001 | Other | PA | DME GROUP |
| CC2226 | Other | RR MEDICARE | |
| H26758 | Other | PREFERRED HEALTHCARE | |
| 826758 | Other | PA | BLUE SHIELD GROUP |
| H26758 | Other | AMERIHEALTH | |
| 1024437 | Other | PA | GATEWAY GROUP |
| H26758 | Other | PREMIER BLUE |
National Provider Directory
National Provider DirectoryLocations
2727 Beale Ave
#A
Altoona, PA 16601
Phone (814) 946-1075
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Lancaster, PA
- NPI 1770578387
-
- Podiatrist
- Athens, OH
- NPI 1669492930
-
- Foot & Ankle Surgery Podiatrist
- Asheville, NC
- NPI 1942288980
Primary Podiatric Medicine
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE PPO BLUE GRP",
"identifier": "0857830000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME GROUP",
"identifier": "1115690001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC2226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTHCARE",
"identifier": "H26758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "826758",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "H26758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY GROUP",
"identifier": "1024437",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE",
"identifier": "H26758",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
- Charlene L Centar, PT
- Center for Community Resources
- Center for the Surgical Arts LLC
- Central Orthotic & Prosthetic Co., Inc.
- Central PA Cardiology, LLC
- Central PA Podiatry LLC
- Central PA Primary Carellc
- Central PA Surgery Center LLC
- Courtney T Chamberlain, PA-C
- Vincent James Chamberlain, OCCUPATIONAL THER
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.