Healthcare Provider Details
I. General information
NPI: 1871432138
Provider Name (Legal Business Name): PACE FOOT AND ANKLE CENTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6651 SILVER CREST RD STE 101
BATH PA
18014-8906
US
IV. Provider business mailing address
6651 SILVER CREST RD STE 101
BATH PA
18014-8906
US
V. Phone/Fax
- Phone: 610-330-9740
- Fax:
- Phone: 610-330-9740
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARC
D
BAER
Title or Position: OWNER
Credential:
Phone: 610-642-5040