Active NPI
Stephen Samuel Markantone, DPM
- Foot & Ankle Surgery Podiatrist
- North Versailles, PA
National Provider Identifier
1700897998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC003197L
- Practice address
- 1116 Lincoln Highway
North Versailles, PA 15137-2134 - Phone
- (412) 824-9370
- Fax
- (412) 824-9371
- NPI assigned
- Aug 11, 2006
- Last updated
- Oct 5, 2017
- Sex
- Male
- Sole proprietor
- No
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 & Ankle Surgery Podiatrist | 213ES0103X | SC003197L | PA | Primary |
Addresses
Primary practice location
1116 Lincoln Highway
North Versailles, PA 15137-2134
Mailing address
1116 Lincoln Highway
North Versailles, PA 15137-2134
Phone (412) 824-9370
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 536986 | Other | PA | BLUE SHIELD OF PA |
| 480012369 | Other | MEDICARE-RAILROAD RETIREM | |
| 77938 | Other | AETNA | |
| 13959 | Other | HEALTH AM HEALTH ASSURANC | |
| 0011478110005 | Medicaid | PA | |
| 994719 | Other | PA | HIGHMARK BCBS HMO PPO POS |
| 000000064072 | Other | UNISON ADM SERVICES | |
| 64072 | Other | MEDIPLUS | |
| 102203 | Other | UPMC HEALTH PLANS | |
| 1500883 | Other | GATEWAY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000303 | PA | Practitioner - Podiatry | 9931002797 | Practice locations: Delmont, PA; North Versailles, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- North Versailles, PA
- NPI 1073782587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1700897998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 LINCOLN HIGHWAY",
"city": "NORTH VERSAILLES",
"state": "PA",
"postal_code": "151372134",
"telephone_number": "412-824-9370",
"fax_number": "412-824-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 LINCOLN HIGHWAY",
"city": "NORTH VERSAILLES",
"state": "PA",
"postal_code": "151372134",
"telephone_number": "412-824-9370",
"fax_number": "412-824-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKANTONE",
"first_name": "STEPHEN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC003197L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "536986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RAILROAD RETIREM",
"identifier": "480012369",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "77938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AM HEALTH ASSURANC",
"identifier": "13959",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011478110005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS HMO PPO POS",
"identifier": "994719",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON ADM SERVICES",
"identifier": "000000064072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPLUS",
"identifier": "64072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLANS",
"identifier": "102203",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1500883",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Versailles, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.