Provider Demographics
NPI:1891822037
Name:FOOT & ANKLE ASSOCIATES OF SECANE, PC
Entity Type:Organization
Organization Name:FOOT & ANKLE ASSOCIATES OF SECANE, PC
Other - Org Name:FRANK J. VETTI, D.P.M. PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:URBAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-534-6330
Mailing Address - Street 1:641 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3540
Mailing Address - Country:US
Mailing Address - Phone:610-544-7400
Mailing Address - Fax:610-544-6271
Practice Address - Street 1:641 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-3540
Practice Address - Country:US
Practice Address - Phone:610-544-7400
Practice Address - Fax:610-544-6271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002387-L213E00000X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000852350Medicaid
PA127055Medicare ID - Type Unspecified
0891060001Medicare NSC
PAT29343Medicare UPIN