Provider Demographics
NPI:1538327416
Name:SOLIMEO, MAGGIE UMERES (DPM)
Entity Type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:UMERES
Last Name:SOLIMEO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:UMERES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:924 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1525
Mailing Address - Country:US
Mailing Address - Phone:610-838-7942
Mailing Address - Fax:
Practice Address - Street 1:924 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1525
Practice Address - Country:US
Practice Address - Phone:610-838-7942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006006213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12151672OtherCAQH
PA5408981OtherCIGNA
PA181929Medicare PIN