Individual provider Active NPI

Stephany F Esper, D.O.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1285624437
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007143L Issued in PA
Practice address
2820 W 12TH St
Erie, PA 16505-4204
Phone
(814) 833-8800
Fax
(814) 833-2079
NPI assigned
Oct 27, 2005
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007143L PA Primary

Addresses

Primary practice location

2820 W 12TH St
Erie, PA 16505-4204

Mailing address

2820 W 12TH St
Erie, PA 16505-4204
Phone (814) 833-8800

Other identifiers 1

IdentifierTypeStateIssuer
0012170120001MedicaidPA

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
I20110203000243 PA Practitioner - Family Practice 8527248814 Practice locations: Erie, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007143LPAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1285624437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054204",
            "telephone_number": "814-833-8800",
            "fax_number": "814-833-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054204",
            "telephone_number": "814-833-8800",
            "fax_number": "814-833-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPER",
        "first_name": "STEPHANY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007143L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012170120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.