Shawn Bifano
Individual provider Active NPI Orthopaedic Foot and Ankle Surgery Physician · Dickson City, PA
NPI 1285097667 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1285097667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
- License
- MD465395 (PA)
- Practice address
- 334 Main St
Dickson City, PA 18519-1668 - Phone
- (610) 402-8900
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Physician Group
H2 Health and Rehabilitation Services LLC
Practice addresses (Care Compare)
334 Main St
Suite 220
Dickson City, PA 18519-1668
Phone (570) 307-4191
506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366
Hospital & facility affiliations
- Traditional Home Health Care
- Lehigh Valley Hospital - Dickson City
- Geisinger-Community Medical Center
- Lehigh Valley Hospital - Pocono
- Allied Services Institute of Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220830004526 | PA | Practitioner - Orthopedic Surgery | 6800189267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1250 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-8420
1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
1120 Oak St
Pittston Township, PA 18640
Phone (570) 299-3384
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
334 Main St
Ste 220
Scranton, PA 18519
Phone (570) 307-4191
334 Main St
Scranton, PA 18519
Phone (570) 307-1767
Interoperability endpoints
- sbifano689854@direct2.lvhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | MD465395 | PA | Yes |
| Orthopaedic Surgery Physician | 207X00000X | MD465395 | PA |
Addresses
Primary practice location
334 Main St
Dickson City, PA 18519-1668
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Other practice location 1
1250 S Cedar Crest Blvd
Allentown, PA 18103-6224
Phone (610) 402-8900
NPI Registry JSON
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1285097667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 MAIN ST",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "185191668",
"telephone_number": "610-402-8900"
}
],
"practiceLocations": [
{
"address_1": "1250 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036224",
"country_code": "US",
"telephone_number": "610-402-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIFANO",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "PA",
"license": "MD465395",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD465395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson City, PA
- David L Barbetti
- Jean Marie Barney
- William Battenberg
- Shannon Beckish
- Maria Alison Berg
- Blondek Center for Pediatric Health & Wellness PC
- Kristal Carroll Henderson Bolhuis
- Maura Brazil
- Kimberly Frances Brennan
- Katelyn Buchinski
All providers in Dickson City, PA · Orthopaedic Foot and Ankle Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.