Provider Demographics
NPI:1437150646
Name:MCANESPEY, DONNA M (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:MCANESPEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:73 N MAPLE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1782
Mailing Address - Country:US
Mailing Address - Phone:856-810-0444
Mailing Address - Fax:856-797-8011
Practice Address - Street 1:73 N MAPLE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1782
Practice Address - Country:US
Practice Address - Phone:856-810-0444
Practice Address - Fax:856-797-8011
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD001922213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000626915OtherAMERIHEALTH ADMINISTRATOR
0456628000OtherKEYSTONE EAST
465095OtherBC/BS OF PA
BNS082OtherOXFORD
160442OtherONE HEALTH - GREAT WEST
307119OtherUSFHP
0000238240OtherPHCS
0456628000OtherAMERIHEALTH
1270723OtherUNITED HEALTH CARE
2K0923OtherHEALTH NET
462365001OtherHEALTH NOW
P00057900OtherRR MEDICARE
223434672OtherMAGNA CARE
465095OtherINDEPENDENT BC/BS
0000626915OtherAMERIHEALTH ADMINISTRATOR
2K0923OtherHEALTH NET
1270723OtherUNITED HEALTH CARE
PA465095Medicare PIN