Active NPI
Steven C Nielson, DPM
- Foot Surgery Podiatrist
- Lancaster, PA
National Provider Identifier
1538595772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC-004285-R
- Practice address
- 1681 Crown Ave
Lancaster, PA 17601-6303 - Phone
- (717) 381-1104
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC-004285-R | PA | Primary |
Addresses
Primary practice location
1681 Crown Ave
Lancaster, PA 17601-6303
Mailing address
1681 Crown Ave
Lancaster, PA 17601
Phone (717) 381-1104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7403003 | Medicaid | NJ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-004285-R | PA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1538595772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 CROWN AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17601",
"telephone_number": "717-381-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1681 CROWN AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016303",
"telephone_number": "717-381-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC-004285-R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7403003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.