Patrick Arnold Macconnell, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

BM2828929 Issued in PA

Practice address

433 Church St
New Milford, PA 18834-6603

Phone

(570) 456-4500

Fax

(570) 465-4501

NPI assigned

Jun 15, 2006

Last updated

Jan 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnes-Kasson County HospitalGroup PAC ID 1355318635, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161
  Medicare reassignment Care Compare group NPD
• Barnes-Kasson County Hospital

  • Rural Health Clinic/Center
  • Honesdale, PA
  • NPI 1659180388
  NPD
• Barnes-Kasson County Hospital

  dba Family Health Clinic of Barnes Kasson Hospital

  • Rural Health Clinic/Center
  • New Milford, PA
  • NPI 1497996037
  NPD (past)
• Barnes-Kasson County Hospital

  • Multi-Specialty Clinic/Center
  • Hallstead, PA
  • NPI 1720573918
  NPD (past)
• Mercy Imaging Associates, PC

  • Diagnostic Radiology Physician
  • Susquehanna, PA
  • NPI 1982641338
  NPD (past)
• Southern Tier Associates in Podiatric Medicine & Surgery PLLC

  • Foot & Ankle Surgery Podiatrist
  • Binghamton, NY
  • NPI 1639105018
  NPD (past)

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

• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1801830617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CHURCH ST",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188346603",
            "telephone_number": "570-456-4500",
            "fax_number": "570-465-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CHURCH ST",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188346603",
            "telephone_number": "570-456-4500",
            "fax_number": "570-465-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCONNELL",
        "first_name": "PATRICK",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "BM2828929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara R Fisher, RN
• Ann Elizabeth Gorham, PT, DPT
• Caleb Hinds, MA, LAPC, NCC, CAADC
• Chelsea Lynn Johnson, L.P.T.
• Stephen W Kielceski, DMD
• Susan Lee McHale, RN
• Northeast Shoe
• Michele Lynn Pavelski, DC
• Spencer R Renwick
• Restore Occupational Therapy

• Podiatrist in New Milford, PA
• Providers in New Milford, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.