Active NPI
Valley Foot and Ankle Center
- Foot Surgery Podiatrist
- Hermitage, PA
National Provider Identifier
1790098036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC004759R
- Legal business name
- VALLEY FOOT AND ANKLE CENTER
- Practice address
- 395 N Hermitage Rd
Hermitage, PA 16148-3373 - Phone
- (724) 347-3667
- NPI assigned
- Jul 15, 2010
- Last updated
- Jul 15, 2010
- 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
- Dr. Carmelita R Reyes, DPM
- Title
- Managing Member/Podiatrist
- Phone
- (330) 240-3974
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC004759R | PA | Primary |
Addresses
Primary practice location
395 N Hermitage Rd
Hermitage, PA 16148-3373
Mailing address
395 N Hermitage Rd
Hermitage, PA 16148-3373
Phone (724) 347-3667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
395 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-3667
Practitioners & affiliated clinicians
Practitioners 2
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": "1279152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279152000000",
"number": "1790098036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483373",
"telephone_number": "724-347-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N HERMITAGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483373",
"telephone_number": "724-347-3667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "CARMELITA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGING MEMBER/PODIATRIST",
"authorized_official_telephone_number": "330-240-3974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC004759R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.