Provider Demographics
NPI:1831252972
Name:JUNIATA VALLEY FOOT AND ANKLE ASSOCIATES
Entity type:Organization
Organization Name:JUNIATA VALLEY FOOT AND ANKLE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-248-0821
Mailing Address - Street 1:215 N BEECH ST
Mailing Address - Street 2:
Mailing Address - City:BURNHAM
Mailing Address - State:PA
Mailing Address - Zip Code:17009-1600
Mailing Address - Country:US
Mailing Address - Phone:717-248-0821
Mailing Address - Fax:717-248-3162
Practice Address - Street 1:215 N BEECH ST
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1600
Practice Address - Country:US
Practice Address - Phone:717-248-0821
Practice Address - Fax:717-248-3162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
PASC001927L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC8599OtherRAILROAD MEDICARE
PA5319670001Medicare NSC