Healthdrive Podiatry Group

LBN: Healthdrive Podiatry Group, Pc
Healthdrive Podiatry Group is an health care organization with primary practice located at 12 Penns Trail Suite 154, Newtown PA 18940-3438. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Healthdrive Podiatry Group, Pc can be contacted via phone (215) 675-3005, or through Abboud, Shadi Adib via phone (857) 255-0486.

Contact Information

Primary practice address
12 Penns Trail Suite 154 Newtown PA 18940-3438
Fax: (888) 662-0859
Website:
Authorized official contact:
Name: Abboud, Shadi Adib Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1619905114
LBN Legal business name Healthdrive Podiatry Group, Pc
DBA Doing business as Healthdrive Podiatry Group
Authorized official Abboud, Shadi Adib Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 30th, 2006
Last updated Dec 31st, 2019 - about 6 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 1619905114 NPPES
Pennsylvania MEDICAID 0015488010010
Pennsylvania Other DA3720
Pennsylvania Other 835574
Pennsylvania Other 0055313000

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