Active NPI
Donna Goelzer Myers, DPM
- Foot Surgery Podiatrist
- Philadelphia, PA
National Provider Identifier
1912080722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC004123-L
- Practice address
- 9892 Bustleton Ave
Suite 303
Philadelphia, PA 19115-2184 - Phone
- (215) 673-3200
- Fax
- (215) 673-3884
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC004123-L | PA | Primary |
Addresses
Primary practice location
9892 Bustleton Ave
Suite 303
Philadelphia, PA 19115-2184
Mailing address
9892 Bustleton Ave
Suite 303
Philadelphia, PA 19115-2184
Phone (215) 673-3200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10683 | Other | PA | ELDERHEALTH |
| 2767689 | Other | PA | AETNA |
| 480034747 | Other | PA | PALMETTO GBA RR MEDICARE |
| 32994 | Other | PA | HEALTH/SENIOR PARTNERS |
| 0436528000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 001920811-01 | Other | PA | AMERICHOICE |
| 666285 | Other | PA | HIGHMARK BLUE SHIELD |
| 666285 | Other | PA | FEDERAL BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC004123-L | PA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1912080722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9892 BUSTLETON AVE",
"address_2": "SUITE 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152184",
"telephone_number": "215-673-3200",
"fax_number": "215-673-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9892 BUSTLETON AVE",
"address_2": "SUITE 303",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152184",
"telephone_number": "215-673-3200",
"fax_number": "215-673-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "DONNA",
"middle_name": "GOELZER",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC004123-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERHEALTH",
"identifier": "10683",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2767689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "480034747",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH/SENIOR PARTNERS",
"identifier": "32994",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0436528000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "001920811-01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "666285",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE SHIELD",
"identifier": "666285",
"state": "PA"
}
],
"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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.