ACHILLES FOOT CENTER PSC NPI 1003012808

Podiatrist in Athens, PA

NPI 1003012808 Organization Podiatrist

About ACHILLES FOOT CENTER PSC

Achilles Foot Center Psc is a provider established in Athens, Pennsylvania specializing in podiatrist. The NPI number of Achilles Foot Center Psc is 1003012808 and was assigned on June 2007. The practitioner's primary taxonomy code is 213E00000X with license number SC002780L (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Achilles Foot Center Psc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Rosemarie Rynkiewicz D.p.m. (Owner)

A podiatrist like Achilles Foot Center Psc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

NPI

1003012808

Provider NameACHILLES FOOT CENTER PSC
Provider Location Address417 N MAIN ST ATHENS, PA 18810
Provider Mailing Address417 N MAIN ST ATHENS, PA 18810
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-27-2007
Last Update Date10-06-2010


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.SC002780L
License StatePA
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

ACHILLES FOOT CENTER PSC
417 N MAIN ST
ATHENS, PA
ZIP 18810
Phone: (570) 888-2122
Fax: (570) 882-8451

Get Directions


Mailing Address

ACHILLES FOOT CENTER PSC
417 N MAIN ST
ATHENS, PA
ZIP 18810
Phone: (570) 888-2122
Fax: (570) 882-8451



Authorized Official

Authorized Official Name ROSEMARIE RYNKIEWICZ D.P.M.
Authorized Official TitleOWNER
Authorized Official Phone(570) 888-2122

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4725440001MEDICARE NSC (07)PA
063123Q0QMEDICARE ID-TYPE UNSPECIFIED (04)PA
T72918MEDICARE UPIN (02)PA

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487852604PANHAT
Organization
Podiatrist (Foot & Ankle Surgery)417 N MAIN ST
ATHENS, PA 18810
(607) 426-0275
1871914259 AMBER ALLEN DPM
Individual
Podiatrist (Foot Surgery)417 N MAIN ST
ATHENS, PA 18810
(570) 888-3668

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.