NPIMap

Organization Active NPI

Pocono Foot & Ankle Consultants, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Stroudsburg, PA
National Provider Identifier
1629037007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
POCONO FOOT & ANKLE CONSULTANTS, P.C.
Practice address
411 Dogwood Rd
Stroudsburg, PA 18360-7566
Phone
(570) 476-6629
Fax
(570) 476-6839
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Lisa L Dadson, DPMNPI 1336136506
Title
President
Phone
(570) 476-6629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

411 Dogwood Rd
Stroudsburg, PA 18360-7566

Mailing address

411 Dogwood Rd
Stroudsburg, PA 18360-7566
Phone (570) 476-6629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040819001270 PA Part B Supplier - Clinic/Group Practice 3173597804 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
Practice locations: Allentown, PA; Easton, PA; Nazareth, PA; Stroudsburg, PA
O20100930069112 PA DME Supplier - Physician - Podiatry 3173597804 Practice locations: Stroudsburg, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pocono Foot and Ankle C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Dogwood Rd
Stroudsburg, PA 18360
Phone (570) 476-6629

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629037007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 DOGWOOD RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607566",
            "telephone_number": "570-476-6629",
            "fax_number": "570-476-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DOGWOOD RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607566",
            "telephone_number": "570-476-6629",
            "fax_number": "570-476-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO FOOT & ANKLE CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "DADSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-476-6629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.