Organization Active NPI

Footcare Services, Inc.

  • Podiatric Clinic/Center
  • Lancaster, PA
National Provider Identifier
1922303056
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
SC 006160 Issued in PA
Legal business name
FOOTCARE SERVICES, INC.
Practice address
45 E Orange St
Lower Level
Lancaster, PA 17602-5123
Phone
(717) 672-0400
Fax
(717) 824-3466
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Astrid Avis, DPMNPI 1639484991
Title
Doctor of Podiatric Medicine
Phone
(717) 672-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X SC 006160 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X SC006166 PA

Addresses

Primary practice location

45 E Orange St
Lower Level
Lancaster, PA 17602-5123

Mailing address

45 E Orange St
Lower Level
Lancaster, PA 17602-5123
Phone (717) 672-0400

Other identifiers 2

IdentifierTypeStateIssuer
102552374 0001MedicaidPA
202554OtherPAMEDICARE PTAN GROUP NUMBER

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110302001011 PA DME Supplier - Physician - Podiatry 4486836087 Practice locations: Lancaster, PA
O20110304000614 PA Part B Supplier - Clinic/Group Practice 4486836087 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

45 E Orange St
Lowr
Lancaster, PA 17602
Phone (717) 672-0400

Practitioners & affiliated clinicians

Practitioners 1

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": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1922303056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E ORANGE ST",
            "address_2": "LOWER LEVEL",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176025123",
            "telephone_number": "717-672-0400",
            "fax_number": "717-824-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E ORANGE ST",
            "address_2": "LOWER LEVEL",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176025123",
            "telephone_number": "717-672-0400",
            "fax_number": "717-824-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "AVIS",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "717-672-0400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC 006160",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC006166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102552374 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP NUMBER",
            "identifier": "202554",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.