Organization
ADVENT FOOT AND ANKLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JAMES JOHNSON D.P.M. (PRESIDENT/SOLE SHAREHOLDER)
(570) 449-8670
Entity
Organization
Contact information
Practice address
107 W CENTRE ST, MAHANOY CITY, PA 17948-2605
(570) 449-8670
Mailing address
509 OAK ST, JIM THORPE, PA 18229-2110
(570) 249-1021
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016034230002
—
PA
01
—
2011068
HIGHMARK BCBS PA
PA
Enumeration date
12/12/2007
Last updated
10/14/2008
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