Mitchell D Shikoff, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

SC002651L Issued in PA

Practice address

5000 Bensalem Blvd
Bensalem, PA 19020-4043

Phone

(215) 638-4446

Fax

(215) 638-4447

NPI assigned

Jun 23, 2006

Last updated

Apr 15, 2009By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Mitchell D. Shikoff, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bensalem, PA
  • NPI 1679654560
  Authorized official Same address or phone
• Street Road Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Trevose, PA
  • NPI 1134273311
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1942236120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204043",
            "telephone_number": "215-638-4446",
            "fax_number": "215-638-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204043",
            "telephone_number": "215-638-4446",
            "fax_number": "215-638-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKOFF",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC002651L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002651L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0023162000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1616230",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette M Sheeron, CRNP
• Jamie Shefsky, DSW
• Thomas Sheipe
• Danielle Marie Sheridan, LMFT
• Linda Joy Sheridan, PTA
• Amanda Shire
• Tiara Sierra-Weitman, LPC
• Jerry D Simms, DPM
• Jill Koffman Simon, CRNP
• Andrea Singleton

• Primary Podiatric Medicine Podiatrist in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Primary Podiatric Medicine Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.