Provider Demographics
NPI:1053507293
Name:JOHN SCHELAND, DPM PC
Entity Type:Organization
Organization Name:JOHN SCHELAND, DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SCHELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-586-5687
Mailing Address - Street 1:630 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1512
Mailing Address - Country:US
Mailing Address - Phone:570-457-1681
Mailing Address - Fax:570-586-5671
Practice Address - Street 1:3 ABINGTON EXECUTIVE PARK
Practice Address - Street 2:STE 7
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2268
Practice Address - Country:US
Practice Address - Phone:570-586-5687
Practice Address - Fax:570-586-5671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004413L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA739MOtherGEISINGER HEALTH PLAN
PA6211270OtherCIGNA
PA739MOtherGEISINGER GOLD HEALTH PLAN
PA1987975OtherBC/BS/ FIRST PRIORITY LIFE
PA7872162OtherAETNA
PA1987975OtherBC/BS
PA821869OtherFIRST PRIORITY HEALTH
PA1987975OtherBC/BS/ FIRST PRIORITY LIFE
PA6211270OtherCIGNA