MEDICARE: DR. STEPHEN SAMUEL MARKANTONE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC003197L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480012369	OTHER		MEDICARE-RAILROAD RETIREM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	536986	OTHER	PA	BLUE SHIELD OF PA
3	000000064072	OTHER		UNISON ADM SERVICES
4	64072	OTHER		MEDIPLUS
5	102203	OTHER		UPMC HEALTH PLANS
6	994719	OTHER	PA	HIGHMARK BCBS HMO PPO POS
7	1500883	OTHER		GATEWAY HEALTH PLAN
8	13959	OTHER		HEALTH AM HEALTH ASSURANC
9	77938	OTHER		AETNA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700897998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN SAMUEL MARKANTONE DPM

Provider Business Mailing Address
First Line	:	1116 LINCOLN HIGHWAY
Second Line	:
City	:	NORTH VERSAILLES
State	:	PA
Zip	:	15137-2134
Country	:	US
Telephone Number	:	412-824-9370
Fax Number	:	412-824-9371

Provider Business Practice Location Address
First Line	:	1116 LINCOLN HIGHWAY
Second Line	:
City	:	NORTH VERSAILLES
State	:	PA
Zip	:	15137-2134
Country	:	US
Telephone Number	:	412-824-9370
Fax Number	:	412-824-9371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/05/2017

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Directions to “ DR. STEPHEN SAMUEL MARKANTONE DPM” Practice Location

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