Individual provider Active NPI

Melissa Jane Knox, DPM

  • Primary Podiatric Medicine Podiatrist
  • Ebensburg, PA
National Provider Identifier
1821094913
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC004163R Issued in PA
Practice address
127 S Caroline St
Ebensburg, PA 15931-1619
Phone
(814) 472-4919
Fax
(814) 472-4961
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC004163R PA Primary

Addresses

Primary practice location

127 S Caroline St
Ebensburg, PA 15931-1619

Mailing address

127 S Caroline St
Ebensburg, PA 15931-1619
Phone (814) 472-4919

Other identifiers 1

IdentifierTypeStateIssuer
01552896MedicaidPA

Other names 1

  • Melissa Knox Dumm Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111229000430 PA Practitioner - Podiatry 1153590443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 S Caroline St
Ebensburg, PA 15931-1619
Phone (814) 243-3629

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004163RPAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Foot Care Associates, P.C. Primary Podiatric Medicine CurrentSince Nov 28, 1995 Accepting new patients

Locations

4501 Admiral Peary Hwy
Ebensburg, PA 15931
Phone (814) 472-0200

628 Pike Rd
Johnstown, PA 15909
Phone (814) 749-5100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1821094913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S CAROLINE ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311619",
            "telephone_number": "814-472-4919",
            "fax_number": "814-472-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S CAROLINE ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311619",
            "telephone_number": "814-472-4919",
            "fax_number": "814-472-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC004163R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01552896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DUMM",
            "middle_name": "KNOX",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.