| Central Pa Podiatry Llc | |
|
914 S 12th St, Altoona, PA 16602-6247 | |
| (814) 201-2309 | |
| (814) 201-2389 |
| Full Name | Central Pa Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 914 S 12th St, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841887494 | NPI | - | NPPES |
| 1902884950 | Other | PA | DR. GERALD GRONBORG |
| 1487632428 | Other | PA | DR. DONALD MRDJENOVICH |
| 1029762890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Brian Elias |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568460509 PECOS PAC ID: 0244280824 Enrollment ID: I20050201000161 |
| Provider Name | Gerald E Gronborg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902884950 PECOS PAC ID: 7810020815 Enrollment ID: I20100728000028 |
| Provider Name | Donald E Mrdjenovich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487632428 PECOS PAC ID: 4688679913 Enrollment ID: I20110110000125 |
| Provider Name | Jacob Carmichael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003302068 PECOS PAC ID: 7517356835 Enrollment ID: I20211108001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Pa Podiatry Llc 914 S 12th St, Altoona, PA 16602-6247 Ph: (814) 201-2309 | Central Pa Podiatry Llc 914 S 12th St, Altoona, PA 16602-6247 Ph: (814) 201-2309 |
Dr. Jacob Carmichael, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 914 S 12th St, Altoona, PA 16602 Phone: 814-201-2309 Fax: 814-201-2389 | |
Dr. Matthew T Sabol, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 711 Logan Blvd, Altoona, PA 16602 Phone: 814-943-3668 Fax: 814-942-7635 | |
Dr. Brian Lee Gates, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 521 Logan Boulevard Lakemont, Altoona, PA 16602 Phone: 814-943-9885 Fax: 814-943-5492 | |
Adam M Budny, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3000 Fairway Dr, Altoona, PA 16602 Phone: 814-942-1166 Fax: 814-942-6222 | |
Blair Medical Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
Harry Penny, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 | |
Blair Medical Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Altoona, PA 16602 Phone: 814-949-7621 Fax: 814-949-7616 |