Eagle Foot & Ankle Specialists, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004423L Issued in PA

Legal business name

EAGLE FOOT & ANKLE SPECIALISTS, LLC

Practice address

855 Springdale Dr
Suite 120
Exton, PA 19341-2852

Phone

(610) 458-0752

Fax

(610) 524-0133

NPI assigned

Mar 16, 2007

Last updated

Apr 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gideon S Burian, DPM

Title

Owner

Phone

(610) 458-0752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1881718963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189010020",
            "telephone_number": "610-458-0752",
            "fax_number": "610-524-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SPRINGDALE DR",
            "address_2": "SUITE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412852",
            "telephone_number": "610-458-0752",
            "fax_number": "610-524-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE FOOT & ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "BURIAN",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-458-0752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004423L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1992742704",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Exton, PA
• Providers in Exton, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.