Healthcare Provider Details

I. General information

NPI: 1144967787
Provider Name (Legal Business Name): C&S FOOT AND ANKLE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5676 STEUBENVILLE PIKE
MC KEES ROCKS PA
15136-1437
US

IV. Provider business mailing address

PO BOX 791
CARNEGIE PA
15106-0791
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-1276
  • Fax:
Mailing address:
  • Phone: 412-655-4362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierSC007252
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerSTATE LICENSE
# 2
IdentifierSC007249
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerSTATE LICENSE

VIII. Authorized Official

Name: KRISTYN BILLINGS
Title or Position: CREDENTIALING
Credential:
Phone: 412-655-4362