Stevan J Anselmi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001853L Issued in PA

Practice address

103 West Ave
Wellsboro, PA 16901-1358

Phone

(570) 724-5297

Fax

(570) 724-8793

NPI assigned

Sep 23, 2005

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Penn Podiatry PC

  • Podiatrist
  • Wellsboro, PA
  • NPI 1366435653
  NPD (past) Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1336135458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-724-5297",
            "fax_number": "570-724-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-724-5297",
            "fax_number": "570-724-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "STEVAN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001853L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "442480314",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ace, LAPC
• Rebecca Adams
• Jennifer Aldinger, COTA/L
• Lorraine Kristel Alexander
• Aligned Dental of Wellsboro, PC
• Arthur Antal, CRNA
• Robert Charles Bair Jr., DMD
• Richard B Baity II, M.ED., CADP
• Kaylee Baker
• Laura Balmer, CRNP

• Podiatrist in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.