| 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: May Accept Medicare Assignments Practice Location: 8011 W Chester Pike, Upper Darby, PA 19082 Phone: 610-449-2345 Fax: 610-449-2577  |