Gerald E Gronborg
Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine
2727 Beale Ave Suite A
Altoona
, Pennsylvania 16601-1705
Gerald E Gronborg
Podiatrist Radiology Foot & Ankle 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 & Ankle Surgery
Languages spoken
- English
Location
First Address
- Gerald E Gronborg
- 2727 Beale Ave Suite A
- Altoona, PA
- Zip : 16601-1705
- Fax : (814) 946-4076
- Phone : (814) 946-1075
Second Address
- Gerald E Gronborg
- 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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What type of doctor is Gerald E Gronborg
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Where is Gerald E Gronborg ’s practice located?
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Is Gerald E Gronborg a sole practitioner?
Is Gerald E Gronborg accepting new patients?
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Does Gerald E Gronborg have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC003442L | PA |
| N | 222Z00000X | Podiatrist | SC003442L | PA |
| Y | 213EP1101X | Primary Podiatric Medicine | SC003442L | PA |
| N | 111NR0200X | Radiology | SC003442L | PA |
| N | 213ER0200X | Radiology | SC003442L | PA |
| N | 213ES0103X | Foot & Ankle Surgery | SC003442L | PA |
National Provider Identifier
| NPI | 1902884950 |
|---|---|
| Provider Name | Gerald E Gronborg |
| 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 |
|---|---|---|
| 000000060525 | UNISON (01) | PA |
| 000706203 | KEYSTONE HEALTH PLAN (01) | PA |
| 0012762560009 | (05) | PA |
| 0012762560010 | (05) | PA |
| 0012762560012 | (05) | PA |
| 0857830000 | PPO PROGRAM INDEPENDENCE (01) | PA |
| 1022107 | GATEWAY (01) | PA |
| 200069 | UPMC (01) | PA |
| 21128765012 | BEECH STREET (01) | PA |
| 2805196 | AETNA HMO QPOS (01) | PA |
| 480013965 | RR MEDICARE INDIVIDUAL (01) | PA |
| 5166987 | PPNI (01) | PA |
| 7318023 | MAMSI (01) | PA |
| 826758 | BLUE SHIELD GROUP (01) | PA |
| CC2226 | RR MEDICARE GROUP (01) | PA |
| GR706203 | BLUE SHIELD INDIVIDUAL (01) | PA |
| P 54229714 | MULTIPLAN (01) | PA |
| U26558 | (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.