Provider Demographics
NPI:1760862916
Name:WESTMORELAND FOOT & ANKLE CARE, LLC
Entity Type:Organization
Organization Name:WESTMORELAND FOOT & ANKLE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRIE
Authorized Official - Middle Name:FABRY
Authorized Official - Last Name:CINDRIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-832-1000
Mailing Address - Street 1:8981 NORWIN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2746
Mailing Address - Country:US
Mailing Address - Phone:724-863-0996
Mailing Address - Fax:724-863-8991
Practice Address - Street 1:8981 NORWIN AVE
Practice Address - Street 2:STE 201
Practice Address - City:ERWIN
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-832-1000
Practice Address - Fax:724-837-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5915590002Medicare NSC