Spa Creek Podiatry of VA, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SPA CREEK PODIATRY OF VA, LLC

Practice address

626 Jacksonville Rd
Suite #101
Warminster, PA 18974

Phone

(267) 691-2800

Fax

(267) 691-2830

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Amber Lloyd

Title

Account Receivable Specialist

Phone

(267) 691-2812

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Anna Restrepo, D.M.D

  • General Practice Dentistry
  • Gainesville, VA
  • NPI 1942467394
  NPD

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1811664741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744861",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD",
            "address_2": "SUITE #101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "18974",
            "telephone_number": "267-691-2800",
            "fax_number": "267-691-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CREEK PODIATRY OF VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNT RECEIVABLE SPECIALIST",
        "authorized_official_telephone_number": "267-691-2812"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solis Healthcare, LP
• Solis Healthcare, LP
• Sovereign Medical Response Ambulance Inc.
• Spa Creek Dental of PA LLC
• Spa Creek Podiatry of PA, LLC
• Spirit Ambulance Inc
• Michael Dolber St. George, DPT
• Merideth Michelle Stabilito, CRNP, WHNP-BC
• Tomasz Staniszewski
• Janice Lynn Steidinger, RDH

• Podiatrist in Warminster, PA
• Providers in Warminster, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.