Individual provider Active NPI

Sharon L. Grissinger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mount Joy, PA
National Provider Identifier
1598763559
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-003235-L Issued in PA
Practice address
112 Frank St
Mount Joy, PA 17552-1422
Phone
(717) 653-6350
Fax
(717) 653-8044
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-003235-L PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC-003235-L PA Primary

Addresses

Primary practice location

112 Frank St
Mount Joy, PA 17552-1422

Mailing address

112 Frank St
Mount Joy, PA 17552-1422
Phone (717) 653-6350

Other identifiers 1

IdentifierTypeStateIssuer
125433902MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000928 PA Practitioner - Podiatry 6406814615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
62.31 of 100Reported as group
Quality
15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003235-LPAMDFoot & Ankle Surgery Podiatrist

Organizations & group practices 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1598763559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANK ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521422",
            "telephone_number": "717-653-6350",
            "fax_number": "717-653-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANK ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521422",
            "telephone_number": "717-653-6350",
            "fax_number": "717-653-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSINGER",
        "first_name": "SHARON",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003235-L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-003235-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125433902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

Verify at the official NPI Registry.