| Dr Zachary Daniel Mironov, DPM | |
|
2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | |
| (610) 330-9740 | |
| Not Available |
| Full Name | Dr Zachary Daniel Mironov |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 2895 Hamilton Blvd Ste 101, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306475546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC007323 (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | SC007323 (Pennsylvania) | Primary |
| Provider Name | Star Community Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
| Provider Name | Pace Foot And Ankle Centers Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952957482 PECOS PAC ID: 8527399591 Enrollment ID: O20191007001874 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Daniel Mironov, DPM 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 Ph: (610) 330-9740 | Dr Zachary Daniel Mironov, DPM 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 Ph: (610) 330-9740 |
Daniel Charles Fritz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2414 Walbert Ave, Allentown, PA 18104 Phone: 610-434-7000 | |
Dr. Adam Jay Teichman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2895 Hamilton Blvd Ste 101, Allentown, PA 18104 Phone: 610-330-9740 Fax: 610-432-4887 | |
Dr. Kevin Short, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2414 Walbert Ave, Allentown, PA 18104 Phone: 610-434-7000 Fax: 610-434-7029 | |
Dr. Melody Sue Stouder, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1736 Hamilton St, Allentown, PA 18104 Phone: 610-628-8364 | |
David P Steed, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 401 N 17th St, Ste 107, Allentown, PA 18104 Phone: 610-770-0110 | |
Douglas Tozzoli, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 501 N 17th St, Suite 107, Allentown, PA 18104 Phone: 610-432-9593 | |
Scott Lipkin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 401 N 17th St, Ste 107, Allentown, PA 18104 Phone: 610-770-0110 |