Organization Active NPI

Tussey Mountain Foot & Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • State College, PA
National Provider Identifier
1982362927
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TUSSEY MOUNTAIN FOOT & ANKLE SPECIALISTS, LLC
Practice address
1526 Martin St
State College, PA 16803-3058
Phone
(814) 996-4134
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Kaitlyn BernhardNPI 1659791168
Title
Podiatrist
Phone
(814) 599-6431

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1526 Martin St
State College, PA 16803-3058

Mailing address

701 Windsor CT
State College, PA 16801-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104000085 PA Part B Supplier - Clinic/Group Practice 1850782723 Receives reassigned benefits from 2 practitioners
Practice locations: State College, PA

National Provider Directory

National Provider Directory

Locations

1526 Martin St
State College, PA 16803
Phone (814) 237-0001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25722/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1982362927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINDSOR CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-996-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSSEY MOUNTAIN FOOT & ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "BERNHARD",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "814-599-6431"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.