Organization Active NPI

Joseph a. Gershey, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Dickson City, PA
National Provider Identifier
1285790865
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003369L Issued in PA
Legal business name
JOSEPH A. GERSHEY, D.P.M., P.C.
Practice address
1034 Main St
Dickson City, PA 18519-1340
Phone
(570) 489-8866
Fax
(570) 489-8875
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Authorized official

Name
Dr. Joseph Anthony Gershey, D.P.M.NPI 1205875812
Title
President
Phone
(570) 489-8866

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC003369L PA Primary

Addresses

Primary practice location

1034 Main St
Dickson City, PA 18519-1340

Mailing address

1034 Main St
Dickson City, PA 18519-1340
Phone (570) 489-8866

Other identifiers 1

IdentifierTypeStateIssuer
101504256001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405001085 PA Part B Supplier - Clinic/Group Practice 2264489897 Receives reassigned benefits from 1 practitioner
Practice locations: Dickson City, PA

National Provider Directory

National Provider Directory

Locations

1034 Main St
Scranton, PA 18519
Phone (570) 489-8866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1285790865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191340",
            "telephone_number": "570-489-8866",
            "fax_number": "570-489-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191340",
            "telephone_number": "570-489-8866",
            "fax_number": "570-489-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. GERSHEY, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "GERSHEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-489-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003369L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101504256001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.