Active NPI
Carol Ann Steckel, PA-C
- Physician Assistant
- Lewisburg, PA
National Provider Identifier
1114947413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA000474L
- Practice address
- 3 Hospital Dr
Suite 206
Lewisburg, PA 17837-9362 - Phone
- (570) 524-4141
- Fax
- (570) 524-5218
- NPI assigned
- Jul 20, 2006
- Last updated
- Dec 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA000474L | PA | Primary |
| Medical Physician Assistant | 363AM0700X | MA000474L | PA |
Addresses
Primary practice location
3 Hospital Dr
Suite 206
Lewisburg, PA 17837-9362
Mailing address
130 Hospital Dr
Lewisburg, PA 17837-9315
Phone (570) 522-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00096671 | Other | PA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA000474L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1114947413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HOSPITAL DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379315",
"telephone_number": "570-522-4110",
"fax_number": "570-522-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL DR",
"address_2": "SUITE 206",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379362",
"telephone_number": "570-524-4141",
"fax_number": "570-524-5218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKEL",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000474L",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA000474L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00096671",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.