Michelangelo Scafidi, CERTIFIED PEDORTHIST

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in IL

Practice address

8344 W Lawrence Ave
Norridge, IL 60706-3152

Phone

(708) 453-4900

Fax

(708) 453-3338

NPI assigned

Nov 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Pedorthic Shoppe Inc

  • Customized Equipment (DME)
  • Norridge, IL
  • NPI 1134279326
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972670263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 W LAWRENCE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063152",
            "telephone_number": "708-453-4900",
            "fax_number": "708-453-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 W LAWRENCE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063152",
            "telephone_number": "708-453-4900",
            "fax_number": "708-453-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAFIDI",
        "first_name": "MICHELANGELO",
        "credential": "CERTIFIED PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc (Dominicks)
• Farid Saheb, MD
• Chona Santiago
• Mita S Sass, NP
• Joanna Sawicka, DON
• Nathan Ray Schmidt, LPT
• Selyan Transportation Company
• Kathryne Josephine Serpico, ATC
• Namrata Shah, O.D.
• Sadie Sholl, OD

• Customized Equipment (DME) in Norridge, IL
• Providers in Norridge, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.