Active NPI
Wendy P Stephenson, M.D.
- Public Health & General Preventive Medicine Physician
- Maple Glen, PA
National Provider Identifier
1073807210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD041572E
- Practice address
- 1816 Carmel PL
Maple Glen, PA 19002-3131 - Phone
- (215) 628-8784
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD041572E | PA | Primary |
Addresses
Primary practice location
1816 Carmel PL
Maple Glen, PA 19002-3131
Mailing address
1816 Carmel PL
Maple Glen, PA 19002-3131
Phone (215) 628-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041572E | PA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1073807210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 CARMEL PL",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190023131",
"telephone_number": "215-628-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 CARMEL PL",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190023131",
"telephone_number": "215-628-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "WENDY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "PA",
"license": "MD041572E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Glen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.