NPIMap

Organization Active NPI

Mount Joy Foot & Ankle Associates, PC

  • Podiatrist
  • Mount Joy, PA
National Provider Identifier
1962456483
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003235L Issued in PA
Legal business name
MOUNT JOY FOOT & ANKLE ASSOCIATES, PC
Practice address
112 Frank Street
Mount Joy, PA 17552-1422
Phone
(717) 653-6350
Fax
(717) 653-8044
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Sharon L. Grissinger, DPMNPI 1598763559
Title
President
Phone
(717) 653-6350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X SC003235L PA Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

112 Frank Street
Mount Joy, PA 17552-1422

Mailing address

112 Frank Street
Mount Joy, PA 17552-1422
Phone (717) 653-6350

Other identifiers 2

IdentifierTypeStateIssuer
SC003235LOtherPASTATE LICENSE
0012543390006MedicaidPA

Other names 1

  • Sharon L. Grissinger, DPM Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110224000844 PA Part B Supplier - Clinic/Group Practice 6709067663 Receives reassigned benefits from 6 practitioners
Practice locations: Mount Joy, PA
O20110317000199 PA DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 6709067663 Practice locations: Mount Joy, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mount Joy Foot & Ankle Associates,112 Frank St, Mount Joy, PA 17552-1422(717) 653-6350 Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

112 Frank St
Mount Joy, PA 17552
Phone (717) 653-6350

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1962456483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANK STREET",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521422",
            "telephone_number": "717-653-6350",
            "fax_number": "717-653-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANK STREET",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521422",
            "telephone_number": "717-653-6350",
            "fax_number": "717-653-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT JOY FOOT & ANKLE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "GRISSINGER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-653-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003235L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SC003235L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012543390006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon L. Grissinger, DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Joy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.