Provider Demographics
NPI:1396806725
Name:A FOOT AND ANKLE, PC
Entity type:Organization
Organization Name:A FOOT AND ANKLE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MYERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-887-5061
Mailing Address - Street 1:261 OLD YORK RD
Mailing Address - Street 2:STE 332
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-887-5061
Mailing Address - Fax:
Practice Address - Street 1:261 OLD YORK RD
Practice Address - Street 2:STE 332
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-887-5061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021383Medicaid
PA02689Medicaid
PA0784964000OtherIBC
PA2276750OtherAETNA
PAA155567OtherHIGHMARK
PA7079091OtherAETNA
PA7079091OtherAETNA
PA1309110001Medicare NSC