Karyn Dian Ellenberger, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

SC005701 Issued in PA

Practice address

6832 Big Beaver Blvd.
Beaver Falls, PA 15010-1803

Phone

(724) 843-7010

NPI assigned

Jun 27, 2006

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1912934738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 BIG BEAVER BLVD.",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101803",
            "telephone_number": "724-843-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 BIG BEAVER BLVD.",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101803",
            "telephone_number": "724-843-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "KARYN",
        "middle_name": "DIAN",
        "name_prefix": "Miss",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC005701",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Elizabeth Edinger
• Jennifer Eyvette Edmonds, MA, NCC, LPC
• Daniel Edwards Jr.
• Eric E Ehrenberg, D.O.
• Eleven Kings LLC (Steri-Clean Pittsburgh)
• Brandi Elsman, M.S.
• Spoorthi Eluri, MD
• Excel Pain Consultants LLC
• Dianah Fabry, BA
• Robert J Fadden, M.D.

• Primary Podiatric Medicine Podiatrist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Primary Podiatric Medicine Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.