NPIMap

Organization Active NPI

Bucknell University

  • Student Health Clinic/Center
  • Lewisburg, PA
National Provider Identifier
1083863187
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
VP000171F Issued in PA
Legal business name
BUCKNELL UNIVERSITY
Practice address
701 Moore Ave
Lewisburg, PA 17837-2010
Phone
(570) 577-1401
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald W. Stechschulte Jr., M.D.
Title
Medical Director
Phone
(570) 577-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X VP000171F PA Primary

Addresses

Primary practice location

701 Moore Ave
Lewisburg, PA 17837-2010

Mailing address

701 Moore Ave
Lewisburg, PA 17837-2010
Phone (570) 577-1401

Other names 1

  • Student Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1083863187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MOORE AVE",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178372010",
            "telephone_number": "570-577-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MOORE AVE",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178372010",
            "telephone_number": "570-577-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNELL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "STECHSCHULTE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-577-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "PA",
            "license": "VP000171F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.