Stoneridge Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STONERIDGE FAMILY MEDICINE

Practice address

7 W Park Ave
Myerstown, PA 17067-1340

Phone

(717) 866-3395

Fax

(717) 866-3396

NPI assigned

Mar 23, 2007

Last updated

Aug 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven James Reiter

Title

President & Ceo

Phone

(717) 866-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1285751479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672239",
            "telephone_number": "717-866-3200",
            "fax_number": "717-866-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W PARK AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671340",
            "telephone_number": "717-866-3395",
            "fax_number": "717-866-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONERIDGE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "717-866-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Myerstown, PA
• Providers in Myerstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.