# A1 FOOT AND ANKLE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568854412
- **Authorized official:** CHERYL LYNN GOLDSTEIN M.ED., DPM (PHYSICIAN/OWNER)
- **Authorized official phone:** (724) 224-2498

## Contact information

- **Practice address:** 2130 FREEPORT RD, SUITE A, NATRONA HEIGHTS, PA 15065-1542
- **Practice address phone:** (724) 224-2498
- **Practice address fax:** (724) 224-1192
- **Mailing address:** 2130 FREEPORT RD, SUITE A, NATRONA HEIGHTS, PA 15065-1542
- **Mailing address phone:** (724) 224-2498
- **Mailing address fax:** (724) 224-1192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | SC005921 | PA | — |
| 213ER0200X | Radiology Podiatrist | SC005921 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005921 | PA | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1023993420002 | — | PA |
| 01 | — | 137985 | MEDICARE PTAN | PA |