Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark J Micciche, DPM

Individual provider Podiatrist · NPI 1336195031

Mark J Micciche, DPM is a Podiatry in Scranton, Pennsylvania. Graduated from Temple University School of Podiatric Medicine in 1991, 35 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Trained at
Temple University School of Podiatric Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1800 Mulberry St
Scranton, PA 18510-2369
Phone: (570) 703-8146
Fax: (570) 703-7205
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence SC-003638-L (PA)

Record details

NPI number1336195031
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 1991 (35 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scranton