Individual provider Active NPI

Mitchell Charles Rossman, D.P.M.

  • Foot Surgery Podiatrist
  • Lock Haven, PA
National Provider Identifier
1053486936
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC005592 Issued in PA
Practice address
930 Bellefonte Ave
Ste 103
Lock Haven, PA 17745-2749
Phone
(570) 660-9358
NPI assigned
Nov 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC005592 PA Primary

Addresses

Primary practice location

930 Bellefonte Ave
Ste 103
Lock Haven, PA 17745-2749

Mailing address

621 Valley View Rd
Bellefonte, PA 16823-8906
Phone (814) 355-1850

Other identifiers 2

IdentifierTypeStateIssuer
1011578480002MedicaidPA
RO1634067OtherPAHIGHMARK BCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041021000303 PA Practitioner - Podiatry 5193786309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Bellefonte Ave
Suite 103
Lock Haven, PA 17745-2749
Phone (570) 660-9358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue19
Removal or shaving of skin growth184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lock Haven Podiatry, L.L.C. Foot Surgery CurrentSince Oct 27, 2005 Accepting new patients
Christine E Weikert DPM PC PastSince Feb 5, 2001 Accepting new patients

Locations

930 Bellefonte Ave
Ste 103
Lock Haven, PA 17745
Phone (570) 660-9358

610 High St
Lock Haven, PA 17745
Phone (570) 748-1260

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1053486936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 VALLEY VIEW RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238906",
            "telephone_number": "814-355-1850",
            "fax_number": "814-355-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BELLEFONTE AVE",
            "address_2": "STE 103",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452749",
            "telephone_number": "570-660-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "MITCHELL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011578480002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "RO1634067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.