South Penn Foot, Ankle And Wound Care Specialists

LBN: Mypafootdoctor
South Penn Foot, Ankle And Wound Care Specialists is an health care organization with primary practice located at 1055 Baltimore St Ste 1 , Hanover PA 17331-4400. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Mypafootdoctor can be contacted via phone (717) 524-1034, or through Maxka, Jim via phone (717) 524-1034.

Contact Information

Primary practice address
1055 Baltimore St Ste 1 Hanover PA 17331-4400
Phone: (717) 524-1034
Fax: (833) 524-1034
Website:
Map and Directions
Authorized official contact:
Name: Maxka, Jim Doctor of Podiatric Medicine (DPM)
Phone: (717) 524-1034

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006213 Pennsylvania
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1538514492
LBN Legal business name Mypafootdoctor
DBA Doing business as South Penn Foot, Ankle And Wound Care Specialists
Authorized official Maxka, Jim Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2016
Last updated Apr 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538514492 NPPES
Pennsylvania MEDICAID 103298961

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