Professional Podiatry LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC005540 Issued in PA

Legal business name

PROFESSIONAL PODIATRY LLC

Practice address

500 Orchard Ave
Suite B
Kennett Square, PA 19348-1812

Phone

(610) 388-8637

Fax

(484) 730-0060

NPI assigned

Jul 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Erin Elizabeth Kutvoelgyi, DPMNPI 1205866746

Title

Podiatrist/Owner

Phone

(610) 357-6303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Practitioners 1

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

• Erin E Kutvoelgyi, DPM

  • Podiatrist
  • Kennett Square, PA
  • NPI 1205866746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1821441635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 STONERIDGE RD",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193731042",
            "telephone_number": "610-357-6303",
            "fax_number": "484-730-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORCHARD AVE",
            "address_2": "SUITE B",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481812",
            "telephone_number": "610-388-8637",
            "fax_number": "484-730-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "KUTVOELGYI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "610-357-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "521466",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Esmeralda Prater, MOTR
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Urgent Care at Kennett Square, LLC
• Ashley Suzanne Preston, OTR/L
• Craig Prince, R.PH.
• Progressive Sports Medicine, PC
• Debra Pronzato, MS, PT
• Alan Raymond Quinn, PH.D.
• Quraishi Medical Practices, LLC
• Uzma A Quraishi, MD

• Foot Surgery Podiatrist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.