Organization Active NPI

Stanley D. Bosta DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Homestead, PA
National Provider Identifier
1710912845
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
STANLEY D. BOSTA DPM PC
Practice address
495 Waterfront Dr E
Suite230
Homestead, PA 15120-1140
Phone
(412) 461-1108
Fax
(412) 461-5490
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Mrs. Diane L Lynch
Title
Operations Manager
Phone
(412) 461-1108

Specialties & licenses 1

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

Addresses

Primary practice location

495 Waterfront Dr E
Suite230
Homestead, PA 15120-1140

Mailing address

495 Waterfront Dr E
Suite230
Homestead, PA 15120-1140
Phone (412) 461-1108

Other identifiers 5

IdentifierTypeStateIssuer
480023599OtherPARAILROAD MEDICARE
1083686034OtherPAINDIVIDUAL NPI
0005069140003MedicaidPA
063793XXYOtherPAMEDICARE GROUP PROV#
1382437OtherPAHIGHMARK BS ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000359 PA Part B Supplier - Clinic/Group Practice 3577648419 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1710912845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY D. BOSTA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "412-461-1108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480023599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083686034",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005069140003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROV#",
            "identifier": "063793XXY",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS ID NUMBER",
            "identifier": "1382437",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.