NPIMap

Organization Active NPI

Wyoming Valley Foot Associates P C

  • Foot & Ankle Surgery Podiatrist
  • Kingston, PA
National Provider Identifier
1770510307
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WYOMING VALLEY FOOT ASSOCIATES P C
Practice address
421 Market St
Kingston, PA 18704-5442
Phone
(570) 283-0220
Fax
(570) 283-1707
NPI assigned
Jun 27, 2006
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Joseph M Toole, DPMNPI 1427086982
Title
President/ Authorized Official
Phone
(570) 283-0220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

421 Market St
Kingston, PA 18704-5442

Mailing address

421 Market St
Kingston, PA 18704-5418
Phone (570) 283-0220

Other identifiers 1

IdentifierTypeStateIssuer
0505757MedicaidPA

Other names 1

  • Dr Leon A Ellman PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000639 PA Part B Supplier - Clinic/Group Practice 7911806393 Receives reassigned benefits from 4 practitioners
Practice locations: Kingston, PA; Pittston, PA
O20100930002983 PA DME Supplier - Physician - Podiatry 7911806393 Practice locations: Kingston, PA

National Provider Directory

National Provider Directory

Locations

421 Market St
Kingston, PA 18704
Phone (570) 283-0220

Practitioners & affiliated clinicians

Practitioners 8

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1770510307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045418",
            "telephone_number": "570-283-0220",
            "fax_number": "570-283-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045442",
            "telephone_number": "570-283-0220",
            "fax_number": "570-283-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VALLEY FOOT ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-283-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0505757",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Leon A Ellman PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dr Leon A Ellman PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.