Individual provider Active NPI

Stephen Edward Stonehouse, M.D.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1285904706
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD051682L Issued in PA
Practice address
5675 N Front St Ste 141
Philadelphia, PA 19120-2719
Phone
(267) 428-6575
Fax
(267) 262-6265
NPI assigned
Jan 2, 2012
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 MD051682L PA Primary

Addresses

Primary practice location

5675 N Front St Ste 141
Philadelphia, PA 19120-2719

Mailing address

5675 N Front St Ste 141
Philadelphia, PA 19120-2719
Phone (267) 428-6575

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
I20200610000214 PA Practitioner - Family Practice 8527489020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5675 N Front St
141 Dedicated Pennsylvania Olney
Philadelphia, PA 19120-2719
Phone (267) 428-6575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051682LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Pennsylvania Holding, LLC CurrentSince Jul 1, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Current Accepting new patients
Wrightstown Family Medicine PC Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Dedicated Pennsylvania Holding, LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2189 2nd Street Pike
Ste 100
Newtown, PA 18940
Phone (215) 598-1200

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 428-6575

Interoperability endpoints

  • Direct secure messaging: sbs91501@wrightstownfamilymedicine.amazing-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1285904706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST STE 141",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "267-428-6575",
            "fax_number": "267-262-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST STE 141",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "267-428-6575",
            "fax_number": "267-262-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEHOUSE",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051682L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.