Provider Demographics
NPI:1821078072
Name:CENTER FOR FOOT & ANKLE SURGERY PC
Entity Type:Organization
Organization Name:CENTER FOR FOOT & ANKLE SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-269-0800
Mailing Address - Street 1:684 WEST LINCOLN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341
Mailing Address - Country:US
Mailing Address - Phone:610-269-0800
Mailing Address - Fax:610-269-0510
Practice Address - Street 1:684 WEST LINCOLN HIGHWAY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-269-0800
Practice Address - Fax:610-269-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-21
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004822L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACH1611607OtherHIGHMARK BC BS
PA30021513OtherKEYSTONE MERCY
PA2288929000OtherKEYSTONE HEALTH PLAN EAST
PA1624760OtherBLUE CHOICE
PA1611607OtherPERSONAL CHOICE BCBS
PA1624760OtherBLUE CHOICE
PA1611607OtherPERSONAL CHOICE BCBS
PAP00138938Medicare PIN