Elizabete M Stahl, D.O.

Individual provider Active NPI Internal Medicine Physician · White Deer, PA

NPI 1043493075 · NPPES record last updated Nov 22, 2016

Key facts

NPI
1043493075
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
OS014107 (PA)
Practice address
Route 15, 2 Miles North of Allenwood
White Deer, PA 17887
Phone
(570) 547-7950
Fax
(570) 547-7710
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
FCC Allenwood Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS014107 PA Yes
Pediatrics Physician 208000000X OS014107 PA

Addresses

Primary practice location

Route 15, 2 Miles North of Allenwood
White Deer, PA 17887

Mailing address

P.O. Box 2500
White Deer, PA 17887
Phone (570) 547-7950

Other names

  • Elizabete M Santos Former name

Other providers in White Deer, PA

All providers in White Deer, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.