Organization Active NPI

Buxmont Podiatry Associates, P.C.

  • Foot Surgery Podiatrist
  • Warminster, PA
National Provider Identifier
1891872313
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC001284L Issued in PA
Legal business name
BUXMONT PODIATRY ASSOCIATES, P.C.
Practice address
399 York Rd
Warminster, PA 18974-4516
Phone
(215) 672-3222
Fax
(215) 672-6634
NPI assigned
Nov 1, 2006
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Jack B. Gorman, D.P.M.NPI 1922036375
Title
President
Phone
(215) 672-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC001284L PA Primary

Addresses

Primary practice location

399 York Rd
Warminster, PA 18974-4516

Mailing address

399 York Rd
Warminster, PA 18974-4516
Phone (215) 672-3222

Other identifiers 8

IdentifierTypeStateIssuer
037389009OtherPAUNITED HEALTHCARE
BU179OtherPAOXFORD
123710OtherPAHIGHMARK BLUE SHIELD
P0071007OtherPATRICARE
02018OtherPAHEALTH PARTNERS
00023128000OtherPAAMERHEALTH HMO
0002654OtherPAAETNA
0023128000OtherPAKEYSTONE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070131000478 PA Part B Supplier - Clinic/Group Practice 2860494051 Receives reassigned benefits from 3 practitioners
Practice locations: Warminster, PA; Newtown, PA
O20100930071784 PA DME Supplier - Physician - Podiatry 2860494051 Practice locations: Warminster, PA

National Provider Directory

National Provider Directory

Locations

12 Village Sq
#4
New Hope, PA 18938
Phone (215) 862-1900

11 Friends Ln
Ste 102
Newtown, PA 18940
Phone (215) 860-8866

2700 S Eagle Rd
Ste 200
Newtown, PA 18940
Phone (215) 860-8866

399 York Rd
Ste 102
Warminster, PA 18974

Practitioners & affiliated clinicians

Practitioners 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1891872313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744516",
            "telephone_number": "215-672-3222",
            "fax_number": "215-672-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 YORK RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744516",
            "telephone_number": "215-672-3222",
            "fax_number": "215-672-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUXMONT PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-672-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC001284L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "037389009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BU179",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "123710",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "P0071007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "02018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERHEALTH HMO",
            "identifier": "00023128000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0002654",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE BLUE SHIELD",
            "identifier": "0023128000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.