FOOT AND ANKLE CENTER OF PHILADELPHIA LLC NPI 1639258916

NPI Information

  • NPI: 1639258916
  • Provider Name: FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 235 N BROAD ST
    SUITE 300
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 568-3510

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NPI Details

FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC is a foot and ankle surgery podiatrist in Philadelphia, PA. FOOT AND ANKLE CENTER OF PHILADELPHIA, LLC NPI is 1639258916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 N BROAD ST
SUITE 300
PHILADELPHIA, PA
ZIP 19107-511
Phone: (215) 568-3510
Fax: (215) 568-3529

The provider's authorized official is Steven F Boc .
The authorized official title is Owner and has the following contact phone number (215) 568-3510.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 4/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1153969MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2T29711MEDICARE UPIN
36323040001MEDICARE NSCPENNSYLVANIA
40978058MEDICAIDPENNSYLVANIA
5110906MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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