Healthcare Provider Details

I. General information

NPI: 1144711219
Provider Name (Legal Business Name): DAVID ANDREW ESPY L.O., L.PED.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 W SPRING ST
TITUSVILLE PA
16354-1534
US

IV. Provider business mailing address

823 W SPRING ST
TITUSVILLE PA
16354-1534
US

V. Phone/Fax

Practice location:
  • Phone: 412-622-2020
  • Fax: 814-827-9691
Mailing address:
  • Phone: 412-622-2020
  • Fax: 814-827-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224L00000X
TaxonomyPedorthist
License NumberPD000037
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberOH000143
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: