Provider Demographics
NPI:1851565758
Name:ACADEMY OF PODIATRY
Entity Type:Organization
Organization Name:ACADEMY OF PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-664-2490
Mailing Address - Street 1:5841 LIBRARY RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3333
Mailing Address - Country:US
Mailing Address - Phone:412-831-1515
Mailing Address - Fax:412-831-2115
Practice Address - Street 1:500 HOSPITAL WAY
Practice Address - Street 2:101
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2004
Practice Address - Country:US
Practice Address - Phone:412-664-2490
Practice Address - Fax:412-831-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4303280002Medicare NSC
PA4303280004Medicare NSC
PA958081Medicare PIN