Individual provider Active NPI

Robert L. Shmokler, DPM

  • Podiatrist
  • Kingston, PA
National Provider Identifier
1366744252
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002653L Issued in PA
Practice address
421 Market St
Kingston, PA 18704-5418
Phone
(570) 283-0220
Fax
(570) 283-1707
NPI assigned
Nov 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002653L PA Primary

Addresses

Primary practice location

421 Market St
Kingston, PA 18704-5418

Mailing address

421 Market St
Kingston, PA 18704-5418
Phone (570) 283-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Valley Foot Associates P C Podiatrist Past Accepting new patients
Wyoming Valley Foot Associates P C Past Accepting new patients

Organizations & group practices 2

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": "1290729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290729600000",
    "number": "1366744252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045418",
            "telephone_number": "570-283-0220",
            "fax_number": "570-283-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045418",
            "telephone_number": "570-283-0220",
            "fax_number": "570-283-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMOKLER",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002653L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.