Individual provider Active NPI

Thomas R. Nebel, D.P.M.

  • Podiatrist
  • Butler, PA
National Provider Identifier
1174590939
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001669L Issued in PA
Practice address
164 Point Plaza
Butler, PA 16001-2540
Phone
(724) 282-4300
Fax
(724) 283-4411
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001669L PA Primary

Addresses

Primary practice location

164 Point Plaza
Butler, PA 16001-2540

Mailing address

564 Bonniebrook Road
Butler, PA 16002-9266
Phone (724) 282-4300

Other identifiers 1

IdentifierTypeStateIssuer
0005022360003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001669LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michaele a. Crawford, DPM, LLC Podiatrist PastSince Aug 1, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1174590939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 BONNIEBROOK ROAD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160029266",
            "telephone_number": "724-282-4300",
            "fax_number": "724-283-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 POINT PLAZA",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012540",
            "telephone_number": "724-282-4300",
            "fax_number": "724-283-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEL",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001669L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005022360003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.