NPIMap

Organization Active NPI

Mitchell D. Shikoff, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bensalem, PA
National Provider Identifier
1679654560
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MITCHELL D. SHIKOFF, D.P.M.
Practice address
5000 Bensalem Blvd
Bensalem, PA 19020-4043
Phone
(215) 638-4446
Fax
(215) 638-4447
NPI assigned
Oct 18, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mitchell D. Shikoff, D.P.M.NPI 1942236120
Title
Owner/Physician
Phone
(215) 638-4340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

5000 Bensalem Blvd
Bensalem, PA 19020-4043

Mailing address

5000 Bensalem Blvd
Bensalem, PA 19020-4043
Phone (215) 638-4446

Other identifiers 3

IdentifierTypeStateIssuer
0990080MedicaidPA
2315834000OtherPAIBC
1616230OtherPABS

National Provider Directory

National Provider Directory

Locations

5000 Bensalem Blvd
Bensalem, PA 19020
Phone (215) 638-4340

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1679654560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204043",
            "telephone_number": "215-638-4446",
            "fax_number": "215-638-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204043",
            "telephone_number": "215-638-4446",
            "fax_number": "215-638-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL D. SHIKOFF, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SHIKOFF",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-638-4340",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990080",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2315834000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1616230",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.