Provider Demographics
NPI:1245389758
Name:FOOT AND ANKLE ASSOCIATES LLP
Entity type:Organization
Organization Name:FOOT AND ANKLE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-444-6520
Mailing Address - Street 1:PO BOX 825159
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-5159
Mailing Address - Country:US
Mailing Address - Phone:215-723-9688
Mailing Address - Fax:215-723-3310
Practice Address - Street 1:601 E BROAD ST
Practice Address - Street 2:SUITE 220
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1263
Practice Address - Country:US
Practice Address - Phone:215-723-9688
Practice Address - Fax:215-723-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1072185Medicaid
PABR468289Medicare ID - Type Unspecified
PA0777600001Medicare NSC
PAT30608Medicare UPIN