Provider Demographics
NPI:1578341095
Name:SILVER SPRING FOOT AND ANKLE PLLC
Entity Type:Organization
Organization Name:SILVER SPRING FOOT AND ANKLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:SWEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:717-644-4672
Mailing Address - Street 1:1300 BENT CREEK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1874
Mailing Address - Country:US
Mailing Address - Phone:717-237-9000
Mailing Address - Fax:717-237-9001
Practice Address - Street 1:1300 BENT CREEK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1874
Practice Address - Country:US
Practice Address - Phone:570-295-1486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Multi-Specialty