Individual provider Active NPI

Stacy Lynn Ziskowski, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1245477082
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006092 Issued in PA
Practice address
3801 Market St
Medical Arts Building, Suite 111
Philadelphia, PA 19104-3153
Phone
(215) 662-9563
Fax
(215) 243-4606
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006092 PA Primary

Addresses

Primary practice location

3801 Market St
Medical Arts Building, Suite 111
Philadelphia, PA 19104-3153

Mailing address

3801 Market St
Medical Arts Building, Suite 111
Philadelphia, PA 19104-3153
Phone (215) 662-9563

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
I20110103000105 PA Practitioner - Podiatry 3678761970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quakertown Foot Care Center Inc.Group PAC ID 4082715537, 2 clinicians

Practice addresses (Care Compare)

445 S W End Blvd
Quakertown, PA 18951-1475
Phone (215) 538-3688

511 W Broad Streeet
Quakertown, PA 18951-1215

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue3470
Removal or shaving of skin growth1435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006092PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quakertown Foot Care Center Inc. Podiatrist CurrentSince Dec 15, 2012 Accepting new patients

Locations

445 S West End Blvd
Quakertown, PA 18951
Phone (215) 538-3668

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1245477082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MEDICAL ARTS BUILDING, SUITE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MEDICAL ARTS BUILDING, SUITE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISKOWSKI",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.