Provider Demographics
NPI:1164667515
Name:KARASON PODIATRIC CENTERS, INC
Entity Type:Organization
Organization Name:KARASON PODIATRIC CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:KARASON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:310-854-0203
Mailing Address - Street 1:PO BOX 18099
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-4099
Mailing Address - Country:US
Mailing Address - Phone:310-854-0203
Mailing Address - Fax:
Practice Address - Street 1:801 E PARK DR
Practice Address - Street 2:SUITE 107
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2816
Practice Address - Country:US
Practice Address - Phone:717-367-1304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004177L332BC3200X
PASC004117L335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000521941Medicare NSC