Suzana Stepanek MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUZANA STEPANEK MD

Practice address

210 W Church St
Ligonier, PA 15658-1106

Phone

(724) 238-5667

Fax

(888) 364-8834

NPI assigned

Mar 20, 2021

Organization subpart

No

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

Authorized official

Name

Suzana Stepanek, MDNPI 1679511091

Title

Physician

Phone

(724) 238-5667

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzana Stepanek, M.D.

  • Internal Medicine Physician
  • Ligonier, PA
  • NPI 1679511091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1194301275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W CHURCH ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581106",
            "telephone_number": "724-238-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CHURCH ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581106",
            "telephone_number": "724-238-5667",
            "fax_number": "888-364-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANA STEPANEK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "STEPANEK",
        "authorized_official_first_name": "SUZANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-238-5667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD062765L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD06265L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kathryn South, NP-C
• Heidi K Spargur, PT
• Suzana Stepanek, M.D.
• Ann E Stuart
• Surgicenter at Ligonier
• Lisa Marie Symons, OTR
• Cheryl Lynn Tennant, B.S.
• Michelle L Thornton, PT
• Lauren Elizabeth Trimeloni, MD
• Lisa Marie Valko, OT

• Primary Care Clinic/Center in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.