NPIMap

Organization Active NPI

Keystone Orthopaedic Specialists LLC

  • Orthopaedic Surgery Physician
  • Reading, PA
National Provider Identifier
1801368097
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Practice address
11 Fairlane Rd
Reading, PA 19606-9567
Phone
(610) 779-2663
Fax
(610) 779-3367
NPI assigned
Dec 28, 2018
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KEYSTONE ORTHOPAEDIC SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Sandy Feehrer
Title
Billing Manager
Phone
(610) 779-2663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

11 Fairlane Rd
Reading, PA 19606-9567

Mailing address

11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 779-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000260 PA Part B Supplier - Clinic/Group Practice 2062547920 Receives reassigned benefits from 66 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reading, PA; West Reading, PA; Wyomissing, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Keystone Ortho Specialists

Locations

42 Tunl Rd
Pottsville, PA 19701
Phone (610) 372-1140

11 Fairlane Rd
Lowr
Reading, PA 19606
Phone (484) 273-0714

1235 Penn Ave
Ste 102
Wyomissing, PA 19610
Phone (610) 374-2251

2604 Keiser Blvd Ste 200
Wyomissing, PA 19610

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1801368097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORTHOPAEDIC SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE ORTHOPAEDIC SPECIALISTS LLC",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "FEEHRER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-779-2663"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.