| Highland Park Podiatry,pc | |
|
8011 W Chester Pike, Upper Darby, PA 19082-1317 | |
| (610) 449-2345 | |
| (610) 449-2577 |
| Full Name | Highland Park Podiatry,pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 8011 W Chester Pike, Upper Darby, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851405757 | NPI | - | NPPES |
| 170112 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 0148848104 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Grace Anne Kuzara |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114968955 PECOS PAC ID: 0244298990 Enrollment ID: I20041228000389 |
| Provider Name | Michael J Cherella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235150020 PECOS PAC ID: 3072531037 Enrollment ID: I20090820000097 |
| Provider Name | Andrew Bradford Peacock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851730063 PECOS PAC ID: 2163794470 Enrollment ID: I20170822001880 |
| Provider Name | Kyle Shaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710410899 PECOS PAC ID: 0446674683 Enrollment ID: I20200810002981 |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Park Podiatry,pc 8011 W Chester Pike, Upper Darby, PA 19082-1317 Ph: (610) 449-2345 | Highland Park Podiatry,pc 8011 W Chester Pike, Upper Darby, PA 19082-1317 Ph: (610) 449-2345 |
Dr. Ronald Lee Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7125 Hilltop Rd, Upper Darby, PA 19082 Phone: 610-352-3373 Fax: 610-352-3488 | |
Kyle Shaw, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8011 W Chester Pike, Upper Darby, PA 19082 Phone: 610-449-2345 Fax: 610-449-2577 |