Provider Demographics
NPI:1790800720
Name:COLUMBIA FOOT & ANKLE CENTER PC
Entity Type:Organization
Organization Name:COLUMBIA FOOT & ANKLE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-759-1363
Mailing Address - Street 1:103 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-3024
Mailing Address - Country:US
Mailing Address - Phone:570-759-1363
Mailing Address - Fax:570-759-2070
Practice Address - Street 1:103 W 9TH ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-3024
Practice Address - Country:US
Practice Address - Phone:570-759-1363
Practice Address - Fax:570-759-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02736000OtherGRP # CAP B CROSS
PA043591Medicare ID - Type UnspecifiedGRP NUMBER