Active NPI
John Scheland, DPM PC
- Foot & Ankle Surgery Podiatrist
- Clarks Summit, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC004413L
- Legal business name
- JOHN SCHELAND, DPM PC
- Practice address
- 3 Abington Executive Park
Ste 7
Clarks Summit, PA 18411-2268 - Phone
- (570) 586-5687
- Fax
- (570) 586-5671
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Anthony Scheland, DPM
- Title
- President
- Phone
- (570) 586-5687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC004413L | PA | Primary |
Addresses
Primary practice location
3 Abington Executive Park
Ste 7
Clarks Summit, PA 18411-2268
Mailing address
630 Clark St
Old Forge, PA 18518-1512
Phone (570) 457-1681
Other practice location 1
277 Airport Rd
Hazle Township, PA 18202-3320
Phone (570) 455-3060
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 739M | Other | PA | GEISINGER HEALTH PLAN |
| 6211270 | Other | PA | CIGNA |
| 739M | Other | PA | GEISINGER GOLD HEALTH PLAN |
| 1987975 | Other | PA | BC/BS/ FIRST PRIORITY LIFE |
| 7872162 | Other | PA | AETNA |
| 1987975 | Other | PA | BC/BS |
| 821869 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071112000091 | PA | Part B Supplier - Clinic/Group Practice | 8921196874 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarks Summit, PA; Hazle Township, PA; Old Forge, PA |
| O20130417000402 | PA | DME Supplier - Physician - Podiatry | 8921196874 | Practice locations: Clarks Summit, PA |
National Provider Directory
National Provider Directory- Tax ID family
- John Scheland DPM PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Clarks Summit, PA
- NPI 1326601816
Locations
277 Airport Rd
Hazle Township, PA 18202
Phone (570) 455-3060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1053507293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 CLARK ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181512",
"telephone_number": "570-457-1681",
"fax_number": "570-586-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ABINGTON EXECUTIVE PARK",
"address_2": "STE 7",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112268",
"telephone_number": "570-586-5687",
"fax_number": "570-586-5671"
}
],
"practiceLocations": [
{
"address_1": "277 Airport Rd",
"address_purpose": "LOCATION",
"city": "Hazle Township",
"state": "PA",
"postal_code": "182023320",
"country_code": "US",
"telephone_number": "570-455-3060",
"fax_number": "570-455-3061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOHN SCHELAND, DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SCHELAND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-586-5687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC004413L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "739M",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6211270",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER GOLD HEALTH PLAN",
"identifier": "739M",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS/ FIRST PRIORITY LIFE",
"identifier": "1987975",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7872162",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "1987975",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "821869",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.