Provider Demographics
NPI:1366625972
Name:HEALTH ONE PODIATRY P.A.
Entity Type:Organization
Organization Name:HEALTH ONE PODIATRY P.A.
Other - Org Name:PATRICIA A MCILRATH
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCILRATH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:302-798-2001
Mailing Address - Street 1:2808 N 5TH STREET HWY
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2419
Mailing Address - Country:US
Mailing Address - Phone:610-921-8800
Mailing Address - Fax:610-929-6942
Practice Address - Street 1:2808 N 5TH STREET HWY
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-2419
Practice Address - Country:US
Practice Address - Phone:610-500-4081
Practice Address - Fax:610-500-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE1-0000148213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE446055001OtherMEDICARE DME
DE2144443000OtherBC-BS
DE0001112317Medicaid
DE182605OtherCOVENTRY
DEU42224Medicare UPIN
DE0001112317Medicaid
DE490830Medicare PIN