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NPI Code Detail

MEDICARE: PODIATRY INC

MEDICARE: PODIATRY INC
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
1213ES0103XFoot & Ankle Surgery Podiatrist
2332B00000XDurable Medical Equipment & Medical Supplies
3213E00000XPodiatrist

Other Identifiers

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

General Provider Information

NPI Number : 1902736945
Entity Type Code : Organization
Provider Name (Legal Business Name) : PODIATRY INC
Provider Business Mailing Address
First Line : PO BOX 825159
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-5159
Country : US
Telephone Number : 314-909-1920
Fax Number :
Provider Business Practice Location Address
First Line : 4010 N BEND RD STE 201
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-3577
Country : US
Telephone Number : 513-541-5709
Fax Number : 513-541-5712
Authorized Official
Title or Position : CFO
Name : CHRISTOPHER FORFAR
Credential :
Telephone Number : 314-909-1920
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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