Healthcare Provider Details
I. General information
NPI: 1255642500
Provider Name (Legal Business Name): DARRELL ROBIN HOPPES JR. D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/01/2010
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6100 OLD JONESTOWN RD
HARRISBURG PA
17112-2607
US
IV. Provider business mailing address
135 STONEBROOK DR
PALMYRA PA
17078-4410
US
V. Phone/Fax
- Phone: 717-541-0988
- Fax: 717-412-4882
- Phone: 610-462-5563
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | SC006195 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 006520 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | SC006195 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: