Active NPI
Stephanie Annette Mackey, M.D.
- Dermatology Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD055612L
- Practice address
- 1027 Hunters Path
Lancaster, PA 17601-1744 - Phone
- (717) 413-7721
- NPI assigned
- Jul 13, 2005
- Reactivated
- Mar 30, 2006
- Last updated
- Mar 2, 2023
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD055612L | PA | Primary |
| General Practice Physician | 208D00000X | MD055612L | PA |
Addresses
Primary practice location
1027 Hunters Path
Lancaster, PA 17601-1744
Mailing address
1027 Hunters Path
Lancaster, PA 17601-1744
Phone (717) 413-7721
Other practice location 1
8 Brookhill Square South
Sugarloaf, PA 18249-1824
Phone (570) 459-0029
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Pennsylvania State University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 Brookhill SQ S
Sugarloaf, PA 18249-1010
Phone (570) 459-0029
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 81 |
| Removal of skin lesions | 435 |
| Skin biopsy | 371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Dermatology Partners Inc | Dermatology | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Dermdox Dermatology Centers PC | Dermatology | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Lanaster General Hospital | Current | Accepting new patients |
Locations
1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546
258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918
20 N Laurel St
#2A
Hazleton, PA 18201
Phone (570) 459-0029
800 New Holland Ave
Ste A
Lancaster, PA 17602
Phone (717) 431-7546
38 Keystone Ct
Leola, PA 17540
Phone (717) 860-0919
317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555
8 Brookhill Sq S
Sugarloaf, PA 18249
Phone (570) 459-0029
Interoperability endpoints
- smackey@pennderm.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Sugarloaf, PA
- NPI 1245693936
-
dba Penn Medicine Lancaster General Health Physicians Radiation Oncology
- Radiation Oncology Physician
- Lancaster, PA
- NPI 1720430812
-
- Dermatology Physician
- West Lawn, PA
- NPI 1023382918
-
dba Penn Fertility Care Lancaster General Health
- Reproductive Endocrinology Physician
- Lancaster, PA
- NPI 1750948469
-
dba Penn Medicine LG Health Physicians Gastrointestinal Services
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1205834249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 HUNTERS PATH",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176011744",
"telephone_number": "717-413-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 HUNTERS PATH",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176011744",
"telephone_number": "717-413-7721"
}
],
"practiceLocations": [
{
"address_1": "8 Brookhill Square South",
"address_purpose": "LOCATION",
"city": "Sugarloaf",
"state": "PA",
"postal_code": "182491824",
"country_code": "US",
"telephone_number": "570-459-0029",
"fax_number": "570-454-5757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEY",
"first_name": "STEPHANIE",
"middle_name": "ANNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD055612L",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD055612L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.