Individual provider Active NPI

Stephanie Annette Mackey, M.D.

  • Dermatology Physician
  • Lancaster, PA
National Provider Identifier
1205834249
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD055612L Issued in PA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000276 PA Practitioner - Dermatology 1759564545 Reassigns benefits to 3 organizations
Practice locations: Lancaster, PA

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
Dermdox Dermatology Centers PCGroup PAC ID 6406154756, 14 clinicians

Practice addresses (Care Compare)

8 Brookhill SQ S
Sugarloaf, PA 18249-1010
Phone (570) 459-0029

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions435
Skin biopsy371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Lancaster General Hospital CurrentSince Jun 7, 2022 Accepting new patients
Dermdox Dermatology Centers PC Dermatology CurrentSince Feb 13, 2023 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lanaster General Hospital CurrentSince Jun 7, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.