Jesse Aiden Mytinger, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005745 Issued in PA

Practice address

127 Columbia Ave
Vandergrift, PA 15690-1101

Phone

(724) 567-7520

Fax

(724) 568-2169

NPI assigned

Nov 29, 2005

Last updated

Dec 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Kent State University College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeff Scott Nigro, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vandergrift, PA
  • NPI 1366428872
  Medicare reassignment
• Jeffrey Nigro

  dba nigro Ankle and Foot Care

  • Podiatric Clinic/Center
  • Natrona Heights, PA
  • NPI 1780810010

  Foot & Ankle Surgery

  NPD (past)

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

• Alle-Kiski Medical Center

  dba Allegheny Valley Hospital

  • General Acute Care Hospital
  • Natrona Heights, PA
  • NPI 1689679581
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1821071382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 UNION AVE",
            "address_2": "SUITE B",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652133",
            "telephone_number": "724-226-0544",
            "fax_number": "724-226-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COLUMBIA AVE",
            "city": "VANDERGRIFT",
            "state": "PA",
            "postal_code": "156901101",
            "telephone_number": "724-567-7520",
            "fax_number": "724-568-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYTINGER",
        "first_name": "JESSE",
        "middle_name": "AIDEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013170390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Mirella Lampert, M.D.
• Sarah Grace Litzinger, PT, DPT
• Nicole Marie Love
• Sandra McCool, PT
• Mohan M Patel MD PC
• Nigro Podiatry (Nigro Ankle and Foot Care)
• Jeff Scott Nigro, DPM
• Omega Treatment Center, LLC
• Michael C Ong, MD
• Andrew Gregory Pallus

• Foot & Ankle Surgery Podiatrist in Vandergrift, PA
• Providers in Vandergrift, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.