MEDICARE: VALLEY SPINE SPECIALISTS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	OS 009073L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03278001	OTHER	PA	CAPITAL BLUE CROSS
2	794395	OTHER	PA	AETNA
3	815090	OTHER	PA	FIRST PRIORITY HEALTH
4	201048	OTHER	PA	FIRST HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1392229	OTHER	PA	BLUE SHIELD
7	1392229	OTHER	PA	AMERIHEALTH
8	1394738	OTHER	PA	KEYSTONE HEALTH PLAN
9	72565	OTHER	PA	GEISINGER HEALTH PLAN

General Provider Information

NPI Number	:	1033269378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY SPINE SPECIALISTS, PC

Provider Business Mailing Address
First Line	:	PO BOX 384
Second Line	:
City	:	BERWICK
State	:	PA
Zip	:	18603-0384
Country	:	US
Telephone Number	:	570-802-0360
Fax Number	:	570-802-0363

Provider Business Practice Location Address
First Line	:	695 E 16TH ST
Second Line	:	SUITE F
City	:	BERWICK
State	:	PA
Zip	:	18603-2320
Country	:	US
Telephone Number	:	570-802-0360
Fax Number	:	570-802-0363

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	GERARD J FOTI
Credential	:	D.O
Telephone Number	:	570-802-0360

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1295733418 — ROGER F CRAKE MD
Practice Location Address:

695 E 16TH ST , SUITE C
BERWICK, PA
18603-2320

Practice Phone: 570-759-3561
Practice Fax: 570-759-0314

1255316030 — KATHY EILEEN BAYLOR MD
Practice Location Address:

695 E 16TH ST STE B
BERWICK, PA
18603-2320

Practice Phone: 570-759-2203
Practice Fax: 570-759-2253

1194780643 — DR. ZEFERINO MARTINEZ M.D.
Practice Location Address:

695 E 16TH ST , SUITE F
BERWICK, PA
18603-2320

Practice Phone: 570-759-5111
Practice Fax: 570-802-5778

1760440853 — DR. RAMESH M. SHAH M.D.
Practice Location Address:

695 E 16TH ST , SUITE A
BERWICK, PA
18603-2320

Practice Phone: 570-759-5005
Practice Fax:

1790859783 — KANOUSE MEDICAL GROUP PC
Practice Location Address:

695 E 16TH ST , SUITE D
BERWICK, PA
18603-2320

Practice Phone: 570-752-5500
Practice Fax: 570-752-6790

1568521425 — DR. GARY DOUGLAS KANOUSE M.D.
Practice Location Address:

695 E 16TH ST , SUITE D
BERWICK, PA
18603-2320

Practice Phone: 570-752-5500
Practice Fax: 570-752-6790

Directions to “VALLEY SPINE SPECIALISTS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.