Vincent N Grattolino, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002316L Issued in PA

Practice address

203 N Main Ave
Scranton, PA 18504-3303

Phone

(570) 344-3338

Fax

(570) 344-8506

NPI assigned

Jul 3, 2006

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

California School of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• John F Bushta DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Peckville, PA
  • NPI 1285821074
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1861422313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-344-3338",
            "fax_number": "570-344-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-344-3338",
            "fax_number": "570-344-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTOLINO",
        "first_name": "VINCENT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002316L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0859244",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Reed Graham, MPH
• Robert Lorne Granberg, M.D.
• Carrie Ann Grant, MPT
• Heather J Grant, M.ED, ATC, CSCS
• Grasta Counseling Services, LLC
• Chelsea Lee Graziano, LPC, PSYD
• Great Leaf Inc.
• Great Valley Cardiology Associates
• Green Ridge Health Care Center, LLC
• Green Ridge Healthcare Group, LLC

• Podiatrist in Scranton, PA
• Providers in Scranton, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.