Active NPI
Stanley D. Bosta DPM PC
- Foot & Ankle Surgery Podiatrist
- Homestead, PA
National Provider Identifier
1710912845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480023599 | Other | PA | RAILROAD MEDICARE |
| 1083686034 | Other | PA | INDIVIDUAL NPI |
| 0005069140003 | Medicaid | PA | |
| 063793XXY | Other | PA | MEDICARE GROUP PROV# |
| 1382437 | Other | PA | HIGHMARK BS ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Homestead, PA
- NPI 1083686034
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.