# ADVENT FOOT AND ANKLE INC.

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

## Provider details

- **NPI number:** 1487837498
- **Authorized official:** DR. PETER JAMES JOHNSON D.P.M. (PRESIDENT/SOLE SHAREHOLDER)
- **Authorized official phone:** (570) 449-8670

## Contact information

- **Practice address:** 107 W CENTRE ST, MAHANOY CITY, PA 17948-2605
- **Practice address phone:** (570) 449-8670
- **Mailing address:** 509 OAK ST, JIM THORPE, PA 18229-2110
- **Mailing address phone:** (570) 249-1021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005660 | PA | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 10/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016034230002 | — | PA |
| 01 | — | 2011068 | HIGHMARK BCBS PA | PA |