Individual provider Active NPI

Thomas Clinton Pfennigwerth, DPM

  • Podiatrist
  • Seneca, PA
National Provider Identifier
1235130071
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005515 Issued in PA
Practice address
3742 State Route 257
Seneca, PA 16346-3318
Phone
(814) 677-0041
Fax
(814) 676-6196
NPI assigned
Aug 2, 2005
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005515 PA Primary

Addresses

Primary practice location

3742 State Route 257
Seneca, PA 16346-3318

Mailing address

3742 State Route 257
Seneca, PA 16346-3318
Phone (814) 677-0041

Other identifiers 1

IdentifierTypeStateIssuer
1394014OtherPAHIGHMARK BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000481 PA Practitioner - Podiatry 0042267981 Practice locations: Franklin, PA; Seneca, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

3742 State Route 257
Seneca, PA 16346-3318
Phone (814) 677-0041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue201
Removal of skin lesions69
Removal of nail tissue4117
Removal or shaving of skin growth839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1235130071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163463318",
            "telephone_number": "814-677-0041",
            "fax_number": "814-676-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163463318",
            "telephone_number": "814-677-0041",
            "fax_number": "814-676-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENNIGWERTH",
        "first_name": "THOMAS",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1394014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.