NPIMap

Individual provider Active NPI

Tammy E. Carlson-Little, D.P.M.

  • Podiatrist
  • Huntingdon, PA
National Provider Identifier
1063476299
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005522 Issued in PA
Practice address
1201 Moore St
Huntingdon, PA 16652-1826
Phone
(814) 643-1720
Fax
(814) 643-4953
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005522 PA Primary
Radiology Podiatrist 213ER0200X SC005522 PA
Sports Medicine Podiatrist 213ES0000X SC005522 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC005522 PA
Foot Surgery Podiatrist 213ES0131X SC005522 PA

Addresses

Primary practice location

1201 Moore St
Huntingdon, PA 16652-1826

Mailing address

1201 Moore St
Huntingdon, PA 16652-1929
Phone (814) 643-1720

Other identifiers 5

IdentifierTypeStateIssuer
0019606750001MedicaidPA
P00278620OtherTRAVELERS MEDICARE
01489224OtherPABLUE SHIELD
0007621509OtherAETNA
323538OtherUPMC HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001018 PA Practitioner - Podiatry 4183694250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1201 Moore St
Huntingdon, PA 16652-1929
Phone (814) 643-1720

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10
Removal of nail tissue760
Removal or shaving of skin growth587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005522PAMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raystown Podiatry LLC Podiatrist CurrentSince Jul 6, 2004 Accepting new patients
Dubois Regional Medical Group, PC Podiatrist Past Accepting new patients
Raystown Podiatry Associates Podiatrist Past Accepting new patients
Bert J. Altmanshofer,DPM and Assoicate, LTD Foot & Ankle Surgery Past Accepting new patients
Advanced Foot and Ankle Associates of Northwestern Pennsylvania PC Podiatrist PastSince Aug 19, 1997 Accepting new patients
Blair Foot and Ankle LLC Podiatrist PastSince Dec 1, 2019 Accepting new patients

Locations

1201 Moore St
Huntingdon, PA 16652
Phone (814) 643-1720

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29bd7f74-505f-4da0-ab1b-2b3301332cd9/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/02cf5ef5-9abb-4937-8933-e06c47e975a4/

Organizations & group practices 6

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1063476299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MOORE ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521929",
            "telephone_number": "814-643-1720",
            "fax_number": "814-643-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MOORE ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521826",
            "telephone_number": "814-643-1720",
            "fax_number": "814-643-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON-LITTLE",
        "first_name": "TAMMY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005522",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC005522",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC005522",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005522",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019606750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00278620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01489224",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007621509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "323538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.