Provider Demographics
NPI:1417969924
Name:CAPITAL FOOT SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:CAPITAL FOOT SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALONIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-566-1123
Mailing Address - Street 1:605 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-1839
Mailing Address - Country:US
Mailing Address - Phone:717-566-1123
Mailing Address - Fax:717-566-8028
Practice Address - Street 1:605 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-1839
Practice Address - Country:US
Practice Address - Phone:717-566-1123
Practice Address - Fax:717-566-8028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004765L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50000997OtherCAPITAL BLUE CROSS
PA1397963OtherHIGHMARK BLUE SHIELD
PAU90152Medicare UPIN
PA057581Medicare ID - Type Unspecified
PA4635380001Medicare NSC