Individual provider Active NPI

Stephen Samuel Markantone, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Versailles, PA
National Provider Identifier
1700897998
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003197L Issued in PA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
536986OtherPABLUE SHIELD OF PA
480012369OtherMEDICARE-RAILROAD RETIREM
77938OtherAETNA
13959OtherHEALTH AM HEALTH ASSURANC
0011478110005MedicaidPA
994719OtherPAHIGHMARK BCBS HMO PPO POS
000000064072OtherUNISON ADM SERVICES
64072OtherMEDIPLUS
102203OtherUPMC HEALTH PLANS
1500883OtherGATEWAY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.