Christopher a Panek DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004669R Issued in PA

Legal business name

CHRISTOPHER A PANEK DPM PC

Practice address

601 Crescent Ave
Ellwood City, PA 16117

Phone

(724) 758-4900

Fax

(724) 758-8190

NPI assigned

Oct 25, 2006

Last updated

Feb 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher A Panek, DPM PCNPI 1952486482

Title

Physician Owner

Phone

(724) 758-4900

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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, and the practitioner matching its NPPES authorized official.

• Christopher Panek, DPM

  • Podiatrist
  • Ellwood City, PA
  • NPI 1952486482
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1770668204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CRESCENT AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-4900",
            "fax_number": "724-758-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRESCENT AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-4900",
            "fax_number": "724-758-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER A PANEK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "PANEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "724-758-4900",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004669R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DP6029",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "434455",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Joseph Cartwright
• Caitlin Casas-Cordero Marambio
• Lexie R Cearfoss
• Christopher James Chill, P.T.
• Jennifer Earl Chill, P.T.
• Kristin Leigh Clyde, MPT
• Anthony Baron Colangelo, M.D.
• Cassandra Cook
• Kala Cunningham, MA, LPC
• Kelley M Davis, BSAT, ATC

• Podiatrist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.