Jacob Carmichael, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC007231 Issued in PA

Practice address

914 S 12TH St
Altoona, PA 16602-6247

Phone

(814) 201-2309

Fax

(814) 201-2389

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central PA Podiatry LLCGroup PAC ID 0446667224, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Altoona Hospital, Altoona, PA, CCN 390073

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcarmichael45560@direct.conemaugh.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HACIAA/Endpoint/HACIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central PA Podiatry LLC

  dba Central PA Physicians Group

  • Podiatrist
  • Altoona, PA
  • NPI 1841887494
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953

  Hospital

  Care Compare affiliation
• Upmc Altoona

  dba Women's Health and Wellness

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1649278730
  Care Compare affiliation
• Upmc Altoona

  • Psychiatric Hospital Unit
  • Altoona, PA
  • NPI 1699773465
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1003302068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026247",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026247",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Birch St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Patton",
            "state": "PA",
            "postal_code": "166681138",
            "country_code": "US",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Nason Dr",
            "address_purpose": "LOCATION",
            "city": "Roaring Spring",
            "state": "PA",
            "postal_code": "166731203",
            "country_code": "US",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC007231",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Healthcare Network Altoona LLC
• Caring Healthcare Network Behavioral Health Services LLC
• Stacey Carlitz
• Krysten A Carlson, PA-C
• Cassandra Jo Carmichael, LMSW
• Susannah Carnicella
• Bonny Carr
• Jill Melissa Carruthers, COTA/L
• Amanda S Caruso, LPC
• Cynthia Marie Casher, PA-C

• Podiatrist in Altoona, PA
• Providers in Altoona, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.