MEDICARE: DR. JOHN A PRON DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC002200L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063414373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A PRON DPM

Provider Business Mailing Address
First Line	:	118 POWDERHORN LN
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-4520
Country	:	US
Telephone Number	:	484-442-8066
Fax Number	:	484-442-8066

Provider Business Practice Location Address
First Line	:	1118 W BALTIMORE PIKE STE 100
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-6105
Country	:	US
Telephone Number	:	484-227-8370
Fax Number	:	484-227-1645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/02/2023

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Directions to “ DR. JOHN A PRON DPM” Practice Location

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