Individual provider Active NPI

Kerry Michael Urda, DPM DOCTOR OF PODIAT

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1821214818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003661L Issued in PA
Practice address
1533 West End Drive
Philadelphia, PA 19151-2234
Phone
(215) 477-7185
Fax
(215) 477-2185
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003661L PA Primary

Addresses

Primary practice location

1533 West End Drive
Philadelphia, PA 19151-2234

Mailing address

1533 West End Drive
Philadelphia, PA 19151-2234
Phone (215) 477-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821214818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 WEST END DRIVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512234",
            "telephone_number": "215-477-7185",
            "fax_number": "215-477-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 WEST END DRIVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512234",
            "telephone_number": "215-477-7185",
            "fax_number": "215-477-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDA",
        "first_name": "KERRY",
        "middle_name": "MICHAEL",
        "credential": "DPM DOCTOR OF PODIAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.