# KEYSTONE PODIATRIC MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376608430
- **Authorized official:** DR. RICHARD ALLEN ROGERS DPM (PRESIDENT CORPORATION)
- **Authorized official phone:** (717) 574-7676

## Contact information

- **Practice address:** 6100 JONESTOWN RD, HARRISBURG, PA 17112-2607
- **Practice address phone:** (717) 541-0988
- **Practice address fax:** (717) 541-8838
- **Mailing address:** 6100 JONESTOWN RD, HARRISBURG, PA 17112-2607
- **Mailing address phone:** (717) 541-0988
- **Mailing address fax:** (717) 541-8838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 07/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016004560013 | — | PA |