Provider Demographics
NPI:1225075765
Name:LAPORTA AND ASSOCIATES,PC
Entity Type:Organization
Organization Name:LAPORTA AND ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUIDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAPORTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-348-1757
Mailing Address - Street 1:414 E DRINKER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2469
Mailing Address - Country:US
Mailing Address - Phone:570-348-1757
Mailing Address - Fax:570-348-6721
Practice Address - Street 1:414 E DRINKER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-2469
Practice Address - Country:US
Practice Address - Phone:570-348-1757
Practice Address - Fax:570-348-6721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACJ2734OtherRAILROAD MEDICARE
PA001893797Medicaid
PA047062Medicare ID - Type Unspecified
NYBA0562Medicare ID - Type Unspecified
PA001893797Medicaid