GORDON PODIATRY, LLC
NPI 1609311034
Podiatrist in Glenside, PA

Q: What is Gordon Podiatry, LLC's NPI number?

The NPI number for Gordon Podiatry, LLC is 1609311034. It was assigned to this organization in the NPPES registry on December 20, 2016.

Q: What is Gordon Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since December 20, 2016

2285 CROSS RD, GLENSIDE, PA 19038(215) 887-5910(215) 887-0387 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2016, Dec 20, 2016 (2 updates tracked since 2016).

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About Gordon Podiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON PODIATRY, LLC (NPI 1609311034) is a healthcare organization registered as a podiatrist in Glenside, Pennsylvania and active in the NPI registry since December 2016. The organization lists Alicia Anne Canzanese, Owner, as its authorized official.

NPPES Registry Identity

NPI1609311034

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameGORDON PODIATRY, LLC

Location Address2285 CROSS RDGlenside, PA 19038-5023

Mailing Address2285 Cross RdGlenside, PA 19038-5023 · (215) 887-5910 · Fax (215) 887-0387

Phone(215) 887-5910

Fax(215) 887-0387

Organization SubpartNo

Authorized OfficialAlicia Anne CanzaneseOwner · (215) 887-5910

Enumeration DateDecember 20, 2016

Last NPPES UpdateDecember 27, 20162 updates tracked since enumeration

✔ NPI 1609311034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC006606

Definition

A 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.

2285 CROSS RD, Glenside, PA 19038

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Group Practice 1

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KALAH SURRATT PT, DPT

Physical Therapist