Provider Demographics
NPI:1780640128
Name:SCHELAND, JOHN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:SCHELAND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:570-586-5687
Mailing Address - Fax:570-586-5671
Practice Address - Street 1:3 ABINGTON EXECUTIVE PARK
Practice Address - Street 2:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004413L213ES0103X, 213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6211270OtherCIGNA
PA69232OtherGEISINGER GOLD
PA431038OtherBC/BS
PA1987975OtherFIRST PRIORITY LIFE
PA69232OtherGEISINGER HEALTH PLAN
PA0018796800002Medicaid
PA7872162OtherAETNA
PA821869OtherFIRST PRIORITY HEALTH PLAN
PA69232OtherGEISINGER HEALTH PLAN
PA0018796800002Medicaid