Provider Demographics
NPI:1770622185
Name:MCMURRAY ANKLE & FOOTCARE P.C.
Entity type:Organization
Organization Name:MCMURRAY ANKLE & FOOTCARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-745-6055
Mailing Address - Street 1:227 DEMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2270
Mailing Address - Country:US
Mailing Address - Phone:724-745-6055
Mailing Address - Fax:724-745-6057
Practice Address - Street 1:227 DEMAR BLVD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2270
Practice Address - Country:US
Practice Address - Phone:724-745-6055
Practice Address - Fax:724-745-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003376L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102272OtherUPMC
PA340715OtherBLUE SHIELD
PAU02229Medicare UPIN
PA102272OtherUPMC
PA107070Medicare PIN