Active NPI
Steven A Jacobs, DPM
- Podiatrist
- Lancaster, PA
National Provider Identifier
1831260934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002060L
- Practice address
- 11 E Walnut St
Lancaster, PA 17602-4923 - Phone
- (717) 393-7222
- NPI assigned
- Nov 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002060L | PA | Primary |
Addresses
Primary practice location
11 E Walnut St
Lancaster, PA 17602-4923
Mailing address
11 E Walnut St
Lancaster, PA 17602-4923
Phone (717) 393-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175724 | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002060L | PA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1831260934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E WALNUT ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024923",
"telephone_number": "717-393-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E WALNUT ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024923",
"telephone_number": "717-393-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002060L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "175724",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.