Organization Active NPI

Propes Podiatry LLC

  • Podiatric Clinic/Center
  • Carbondale, PA
National Provider Identifier
1235020884
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PROPES PODIATRY LLC
Doing business as
Propes Podiatry LLC
Practice address
49 Salem Ave
Carbondale, PA 18407-1928
Phone
(570) 282-2040
NPI assigned
Jul 11, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Shawna M PropesNPI 1093451031
Title
Owner
Phone
(570) 282-2040

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
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

49 Salem Ave
Carbondale, PA 18407-1928

Mailing address

49 Salem Ave
Carbondale, PA 18407-1928
Phone (570) 282-2040

Other names 1

  • Propes Podiatry LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903004015 PA Part B Supplier - Clinic/Group Practice 0648772327 Receives reassigned benefits from 1 practitioner
Practice locations: Carbondale, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1235020884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071928",
            "telephone_number": "570-282-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071928",
            "telephone_number": "570-282-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPES PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "PROPES",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-282-2040"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Propes Podiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.