Organization Active NPI

John Scheland, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Clarks Summit, PA
National Provider Identifier
1053507293
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004413L Issued in PA
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

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. John Anthony Scheland, DPMNPI 1780640128
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
739MOtherPAGEISINGER HEALTH PLAN
6211270OtherPACIGNA
739MOtherPAGEISINGER GOLD HEALTH PLAN
1987975OtherPABC/BS/ FIRST PRIORITY LIFE
7872162OtherPAAETNA
1987975OtherPABC/BS
821869OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.