Provider Demographics
NPI:1700897998
Name:MARKANTONE, STEPHEN SAMUEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SAMUEL
Last Name:MARKANTONE
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 1:1116 LINCOLN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-2134
Mailing Address - Country:US
Mailing Address - Phone:412-824-9370
Mailing Address - Fax:412-824-9371
Practice Address - Street 1:1116 LINCOLN HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-2134
Practice Address - Country:US
Practice Address - Phone:412-824-9370
Practice Address - Fax:412-824-9371
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003197L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
480012369OtherMEDICARE-RAILROAD RETIREM
PA536986OtherBLUE SHIELD OF PA
000000064072OtherUNISON ADM SERVICES
64072OtherMEDIPLUS
102203OtherUPMC HEALTH PLANS
PA994719OtherHIGHMARK BCBS HMO PPO POS
1500883OtherGATEWAY HEALTH PLAN
13959OtherHEALTH AM HEALTH ASSURANC
77938OtherAETNA
PA0011478110005Medicaid
102203OtherUPMC HEALTH PLANS
PA536986OtherBLUE SHIELD OF PA
T30776Medicare UPIN