Organization Active NPI

N.E.P.a Foot & Ankle Specialists P.C.

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, PA
National Provider Identifier
1730505272
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005978 Issued in PA
Legal business name
N.E.P.A FOOT & ANKLE SPECIALISTS P.C.
Practice address
75 Washington Ave
Plymouth, PA 18651-1744
Phone
(570) 287-1955
Fax
(570) 287-1995
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Shelly Ann Levulis, DPMNPI 1821295312
Title
President
Phone
(570) 287-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC005978 PA Primary

Addresses

Primary practice location

75 Washington Ave
Plymouth, PA 18651-1744

Mailing address

75 Washington Ave
Plymouth, PA 18651-1744
Phone (570) 287-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140717000094 PA Part B Supplier - Clinic/Group Practice 3476779000 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, PA

National Provider Directory

National Provider Directory

Locations

3579 Memorial Hwy
Dallas, PA 18612

33 Gateway Shopping Ctr
Edwardsville, PA 18704
Phone (570) 287-1955

75 Washington Ave
Plymouth, PA 18651
Phone (570) 287-1955

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": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1730505272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186511744",
            "telephone_number": "570-287-1955",
            "fax_number": "570-287-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186511744",
            "telephone_number": "570-287-1955",
            "fax_number": "570-287-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.E.P.A FOOT & ANKLE SPECIALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2022-06-08",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LEVULIS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-287-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.