Donald E Mrdjenovich
Podiatrist Radiology Foot Surgery Primary Podiatric Medicine
2727 Beale Ave Suite A
Altoona
, Pennsylvania 16601-1705
Donald E Mrdjenovich
Podiatrist Radiology Foot Surgery Primary Podiatric Medicine
2727 Beale Ave Suite A
Altoona
, Pennsylvania 16601-1705
(814) 946-4076
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Foot Surgery
Languages spoken
- English
Location
First Address
- Donald E Mrdjenovich
- 2727 Beale Ave Suite A
- Altoona, PA
- Zip : 16601-1705
- Fax : (814) 946-4076
- Phone : (814) 946-1075
Second Address
- Donald E Mrdjenovich
- 2727 Beale Ave Suite A
- Altoona, PA
- Zip : 16601-1705
- Fax : (814) 946-4076
- Phone : (814) 946-1075
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FAQs
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Where is Donald E Mrdjenovich ’s practice located?
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Is Donald E Mrdjenovich a sole practitioner?
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Does Donald E Mrdjenovich offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC003403L | PA |
| N | 222Z00000X | Podiatrist | SC003403L | PA |
| Y | 213EP1101X | Primary Podiatric Medicine | SC0034031 | PA |
| N | 111NR0200X | Radiology | SC003403L | PA |
| N | 213ER0200X | Radiology | SC003403L | PA |
| N | 213ES0131X | Foot Surgery | SC003403L | PA |
National Provider Identifier
| NPI | 1487632428 |
|---|---|
| Provider Name | Donald E Mrdjenovich |
| First Address | Altoona, PA 16601-1705 |
| Second Address | Altoona, PA 16601-1705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2006 |
| Last Update Date | 05/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000087405 | UNISON (01) | PA |
| 000680859 | KEYSTONE HEALTH PLAN (01) | PA |
| 0016415200001 | (05) | PA |
| 0016415200002 | (05) | PA |
| 0707106 | AETNA HMO QPOS (01) | PA |
| 1024439 | GATEWAY INDIVIDUAL (01) | PA |
| 206170 | UPMC (01) | PA |
| 21139415759 | BEECH STREET (01) | PA |
| 21139415759 | INTERGROUP (01) | PA |
| 251775206 | TAX ID FOR GROUP (01) | |
| 480019774 | RAILROAD MEDICARE INDIVID (01) | PA |
| 5082453 | PPNI (01) | PA |
| 740952 | FOCUS (01) | PA |
| 826758 | BLUE SHIELD GROUP (01) | PA |
| CC2226 | RAILROAD MEDICARE GROUP (01) | PA |
| MR680859 | BLUE SHIELD IND (01) | PA |
| P11111021 | MULTIPLAN (01) | PA |
| U19403 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.