NPIMap

Individual provider Active NPI

Elaine A Odonnell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dunmore, PA
National Provider Identifier
1780640268
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002764 Issued in PA
Practice address
414 E Drinker St
Suite 101
Dunmore, PA 18512-2469
Phone
(570) 348-1757
Fax
(570) 348-6721
NPI assigned
Apr 25, 2006
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC002764 PA Primary
Podiatrist 213E00000X SC002764 PA
Foot Surgery Podiatrist 213ES0131X SC002764 PA

Addresses

Primary practice location

414 E Drinker St
Suite 101
Dunmore, PA 18512-2469

Mailing address

414 E Drinker St
Suite 101
Dunmore, PA 18512-2469
Phone (570) 348-1757

Other identifiers 2

IdentifierTypeStateIssuer
001176279MedicaidPA
480033356OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000771 PA Practitioner - Podiatry 2466353503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laporta and Associates,PCGroup PAC ID 8022919281, 2 clinicians

Practice addresses (Care Compare)

414 E Drinker St
Suite 101
Dunmore, PA 18512-2469
Phone (570) 348-1757

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue38
Removal of skin lesions17
Removal of nail tissue654
Removal or shaving of skin growth318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002764PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Apr 18, 2022 Accepting new patients
Geisinger Clinic Current Accepting new patients
Laporta and Associates,PC Podiatrist CurrentSince Oct 23, 1989 Accepting new patients
Geisinger Clinic CurrentSince Apr 18, 2022 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

395 Route 940
Ste 105
Blakeslee, PA 18610
Phone (570) 643-1398

100 N Academy Ave
Danville, PA 17822

414 E Drinker St
Ste 101
Dunmore, PA 18512

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1780640268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E DRINKER ST",
            "address_2": "SUITE 101",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122469",
            "telephone_number": "570-348-1757",
            "fax_number": "570-348-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E DRINKER ST",
            "address_2": "SUITE 101",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122469",
            "telephone_number": "570-348-1757",
            "fax_number": "570-348-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "ELAINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002764",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002764",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001176279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033356",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.