Lock Haven Podiatry, L.L.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC005592 Issued in PA

Legal business name

LOCK HAVEN PODIATRY, L.L.C.

Practice address

610 High St
Specialists Clinic
Lock Haven, PA 17745-3018

Phone

(570) 748-1270

Fax

(570) 748-1271

NPI assigned

Nov 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Charles Rossman, D.P.M.NPI 1053486936

Title

Owner

Phone

(814) 355-1850

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Charles Rossman, D.P.M.

  • Foot Surgery Podiatrist
  • Lock Haven, PA
  • NPI 1053486936
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407921380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HIGH ST",
            "address_2": "SPECIALISTS CLINIC",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453018",
            "telephone_number": "570-748-1270",
            "fax_number": "570-748-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HIGH ST",
            "address_2": "SPECIALISTS CLINIC",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453018",
            "telephone_number": "570-748-1270",
            "fax_number": "570-748-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCK HAVEN PODIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-355-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "LO1774288",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014668430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lock Haven Home Care Services LLC (Central Pennsylvania Hospice)
• Lock Haven Medical Center Inc
• Lock Haven Medical Center, Inc
• Lock Haven Medical Professionals PC (Haven Orthopedic and Sports Medicine)
• Lock Haven Medical Professionals, P.C.
• Eric Alan Lockridge, L.S.W.
• Emily J Lomax, M.S. OTR/L
• Kierston Jo Long
• Rhonda Lynn Long, LPN
• Katherin Marion Lorson, PA-C

• Foot Surgery Podiatrist in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.