Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1477531010

Unknown Individual is a healthcare provider. based in Easton, Pennsylvania. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. SC-002429-L (PA). The NPI Number for Unknown Individual is 1477531010

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477531010
Phone
(610) 252-4412
Address
3800 WILLIAM PENN HWY
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6102524412
Graduation Year
1982 (44 years ago)
PAC ID
1951566199
Professional Enrollment ID
I20120713000119
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lehigh Valley Thruway, West Ward, Easton, Northampton County, Pennsylvania, 18042, United States

    EASTON, PA 180455028

    Phone: (610) 252-4412

    Fax: (610) 252-4775

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails1,472750$0
11720Removal of fingernails or toenails, 1-5 nails1,072623$0
G0127Trimming of dystrophic nails, any number955576$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes262251$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes232215$0
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Insurance plans in this area (ZIP 18045)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYPA11056Removal of 2 to 4 thickened skin growths474184

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1477531010 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Easton, Pennsylvania for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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