Stacey Oberhauser, CRNP

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

SP020808 Issued in PA

Practice address

Center for Urologic Care of Berks County
1320 Broadcasting Road, Suite 200
Wyomissing, PA 19610

Phone

(610) 372-8995

Fax

(610) 372-7922

NPI assigned

Jan 10, 2020

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Ann Kunkel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1235779943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7690 LANCASTER AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671945",
            "telephone_number": "610-301-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR UROLOGIC CARE OF BERKS COUNTY",
            "address_2": "1320 BROADCASTING ROAD, SUITE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-372-8995",
            "fax_number": "610-372-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHAUSER",
        "first_name": "STACEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "SP020808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "KUNKEL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ava Rose Noss
• Novacare Outpatient Rehabilitation East, Inc. (Novacare Rehabilitation)
• Halley Victoria Novitch
• David Brian O Rourke, MD
• Susan L O'Brien, CRNP
• Clark Mitchell Ocker, O.D.
• Gretchen Lynn Odonnell, PA C
• Morgan Sarah Ogozalek, BS
• Christina M Ohnsman, MD
• Ianna L Ojeda

• Urology Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.