NPIMap

Organization Active NPI

Podiatric Senior Care LLC

  • Podiatrist
  • Huntingdon, PA
National Provider Identifier
1821387143
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-001976-L Issued in PA
Legal business name
PODIATRIC SENIOR CARE LLC
Practice address
11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464
Phone
(814) 643-5565
Fax
(814) 643-2607
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mrs. Barbara M Hoover
Title
Owner
Phone
(814) 643-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-001976-L PA Primary

Addresses

Primary practice location

11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464

Mailing address

11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464
Phone (814) 643-5565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000461 PA Part B Supplier - Clinic/Group Practice 0143498048 Receives reassigned benefits from 3 practitioners
Practice locations: State College, PA; Reedsville, PA; Pleasant Gap, PA; Huntingdon, PA; Belleville, PA; Bellefonte, PA

National Provider Directory

National Provider Directory

Locations

160 Lions Hill Rd
State College, PA 16803
Phone (814) 235-8900

Practitioners & affiliated clinicians

Practitioners 7

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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1821387143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 STONE CREEK RIDGE RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526464",
            "telephone_number": "814-643-5565",
            "fax_number": "814-643-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 STONE CREEK RIDGE RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526464",
            "telephone_number": "814-643-5565",
            "fax_number": "814-643-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-643-5565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-001976-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.