Mypafootdoctor
NPI 1538514492ActiveOrganization· Podiatrist· Hanover, PA
Podiatrist in Hanover, Pennsylvania, registered in NPPES in April 2016. The authorized official on file is Jim Maxka, DPM, Sole Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1538514492 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2016 |
| Last updated in NPPES | Apr 30, 2023 |
| Certified by provider | Apr 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | SC006213 | PA |
| Clinic/Center, Podiatric | 261QP1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (PA); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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