NORTH CENTRAL PENN PODIATRY PC (NPI# 1366435653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366435653 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL PENN PODIATRY PC |
| Practice Address |
103 West Ave Wellsboro PA 16901-1358 |
| Practice Telephone | 5707245297 |
| Practice Fax Number | 5707248793 |
| Mailing Telephone | 5707245297 |
| Mailing Fax Number | 5707248793 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-11-12 |
| Authorized Official Name | STEVAN J ANSELMI (OWNER) |
| Authorized Official Telephone | 5707245297 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC0018534 | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TRAVELERS MEDICARE | CM5849 | 01 |
| HIGHMARK BS | 593990 | 01 | |
| PA | 0011971430002 | 05 |
| Street Address |
103 WEST AVE |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130753 | Judith Tubbs | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2018-07-19 |
| 1316355696 | Olivia Mays | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2014-07-30 |
| 1063851194 | Tioga Health Care Providers, Inc | Hospitalist | 103 West Ave, Wellsboro, PA 16901-1358 | 2013-06-21 |
| 1174839849 | Christopher Anthony Domarew | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2010-08-19 |
| 1457556862 | Walter John Laibinis Jr. | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2007-06-15 |
| 1043392020 | North Penn Comprehensive Health Services | Clinic/Center | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-10-19 |
| 1346253796 | Paul Latzko | Family Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-08-15 |
| 1447263462 | Daria Helena Lin-guelig | Physician Assistant | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-14 |
| 1861405912 | Karen Usavage | Nurse Practitioner | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-13 |
| 1245270180 | James Edward Manning Iv | Psychiatry & Neurology | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437598554 | Tioga Health Care Providers, Inc | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1336135458 | Stevan J Anselmi | Podiatrist | 103 West Ave, Wellsboro, PA 16901-1358 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.