Provider Demographics
NPI:1558375675
Name:NORRITON PODIATRIC ASSOCIATES, PC
Entity Type:Organization
Organization Name:NORRITON PODIATRIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:MARCELLE
Authorized Official - Last Name:CASPER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-279-3080
Mailing Address - Street 1:190 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1385
Mailing Address - Country:US
Mailing Address - Phone:610-279-3080
Mailing Address - Fax:610-292-8384
Practice Address - Street 1:190 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 120
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1385
Practice Address - Country:US
Practice Address - Phone:610-279-3080
Practice Address - Fax:610-292-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003341L213E00000X
PASC003413L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5305590001Medicare NSC
PA021782Medicare ID - Type UnspecifiedGROUP MEDICARE #