Active NPI
Timothy B Stonesifer, DO
- Family Medicine Physician
- Shippensburg, PA
National Provider Identifier
1073513784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007960L
- Practice address
- 67 W King St
Suite C
Shippensburg, PA 17257-1233 - Phone
- (717) 530-1698
- Fax
- (717) 530-5186
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007960L | PA | Primary |
Addresses
Primary practice location
67 W King St
Suite C
Shippensburg, PA 17257-1233
Mailing address
67 W King St
Suite C
Shippensburg, PA 17257-1233
Phone (717) 530-1698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11465119 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140828001917 | PA | Order and Referring Only - Family Practice | 1456534718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- timothy.stonesifer@554941067886596.direct.elationemr.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1073513784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 W KING ST",
"address_2": "SUITE C",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172571233",
"telephone_number": "717-530-1698",
"fax_number": "717-530-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 W KING ST",
"address_2": "SUITE C",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172571233",
"telephone_number": "717-530-1698",
"fax_number": "717-530-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONESIFER",
"first_name": "TIMOTHY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007960L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11465119",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.