Provider Demographics
NPI:1033439559
Name:PITTSBURGH FAMILY FOOT CARE, P.C.
Entity Type:Organization
Organization Name:PITTSBURGH FAMILY FOOT CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KULICK
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-941-9440
Mailing Address - Street 1:2001 WATERDAM PLAZA DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5416
Mailing Address - Country:US
Mailing Address - Phone:724-941-9440
Mailing Address - Fax:724-941-9783
Practice Address - Street 1:660 PELLIS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4633
Practice Address - Country:US
Practice Address - Phone:724-837-9780
Practice Address - Fax:724-941-9783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014536280001Medicaid
PA455380OtherGROUP MEDICARE NUMBER