Organization Active NPI

Pace Foot and Ankle Centers PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
National Provider Identifier
1952957482
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PACE FOOT AND ANKLE CENTERS PLLC
Practice address
931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838
Phone
(610) 642-5040
Fax
(610) 642-5042
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Marc Baer, DPMNPI 1871570713
Title
Principal Physician
Phone
(610) 642-5040

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838

Mailing address

931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838
Phone (610) 642-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191007001874 PA Part B Supplier - Clinic/Group Practice 8527399591 Receives reassigned benefits from 39 practitioners
Practice locations: Collegeville, PA; Wayne, PA; Warminster, PA; Springfield, PA; Paoli, PA; Northampton, PA; Newtown Square, PA; New Britain, PA…
O20201204000092 NJ Part B Supplier - Clinic/Group Practice 8527399591 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ; Marlton, NJ

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pace Foot and Ankle Centers PLLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

931 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-2311

797 E Lancaster Ave
Ste 9
Downingtown, PA 19335
Phone (610) 873-0322

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

1068 W Baltimore Pike
Ste 2105
Media, PA 19063

1068 W Baltimore Pike
Ste 3514
Media, PA 19063

1078 W Baltimore Pike
Ste 3311
Media, PA 19063

280 N Providence Rd
Media, PA 19063
Phone (610) 565-6843

280 N Providence Rd
Ste 103
Media, PA 19063
Phone (610) 566-4563

902 Town Ctr
New Britain, PA 18901
Phone (215) 277-8275

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (484) 526-7275

1410 Russell Rd
Paoli, PA 19301
Phone (610) 647-0353

100 E Lancaster Ave
Ste 330
Wynnewood, PA 19096
Phone (610) 645-6555

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1952957482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD FL 3",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-642-5040",
            "fax_number": "610-642-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD FL 3",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-642-5040",
            "fax_number": "610-642-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE FOOT AND ANKLE CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "610-642-5040",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.