Provider Demographics
NPI:1912060054
Name:HIGHPOINT FOOT AND ANKLE CENTER LLC
Entity type:Organization
Organization Name:HIGHPOINT FOOT AND ANKLE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-997-3668
Mailing Address - Street 1:1500 HORIZON DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3966
Mailing Address - Country:US
Mailing Address - Phone:215-997-3668
Mailing Address - Fax:215-997-0992
Practice Address - Street 1:1500 HORIZON DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3966
Practice Address - Country:US
Practice Address - Phone:215-997-3668
Practice Address - Fax:215-997-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAA08008718OtherM. TRANSACTION SERVICES (SUBMITTER NUMBER)
PA0856108000OtherINDEPENDENT BLUE CROSS, PERSONAL CHOICE
PA0856108000OtherINDEPENDENT BLUE CROSS, PERSONAL CHOICE
PA048544Medicare PIN