1437150646 NPI number — DR. DONNA M MCANESPEY DPM

Table of content: DR. DONNA M MCANESPEY DPM (NPI 1437150646)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437150646 NPI number — DR. DONNA M MCANESPEY DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCANESPEY
Provider First Name:
DONNA
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437150646
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
73 N MAPLE AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
MARLTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08053-1782
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-810-0444
Provider Business Mailing Address Fax Number:
856-797-8011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
73 N MAPLE AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MARLTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08053-1782
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-810-0444
Provider Business Practice Location Address Fax Number:
856-797-8011
Provider Enumeration Date:
08/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  MD001922 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000626915 . This is a "AMERIHEALTH ADMINISTRATOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0456628000 . This is a "KEYSTONE EAST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 465095 . This is a "BC/BS OF PA" identifier . This identifiers is of the category "OTHER".
  • Identifier: BNS082 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 160442 . This is a "ONE HEALTH - GREAT WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 307119 . This is a "USFHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000238240 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0456628000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1270723 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2K0923 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 462365001 . This is a "HEALTH NOW" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00057900 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223434672 . This is a "MAGNA CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 465095 . This is a "INDEPENDENT BC/BS" identifier . This identifiers is of the category "OTHER".




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