Provider Demographics
NPI:1841241197
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:DR
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 1:700 PELLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4488
Mailing Address - Country:US
Mailing Address - Phone:724-832-1000
Mailing Address - Fax:724-837-4830
Practice Address - Street 1:700 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4488
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:2006-05-12
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005658213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5915590002Medicare NSC