Active NPI
Stephanie Delores Sossong, PAC
- Medical Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1316214679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA055666
- Practice address
- 1307 Federal St
Suite B100
Pittsburgh, PA 15212-4769 - Phone
- (412) 359-8900
- Fax
- (412) 359-8977
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA055666 | PA | Primary |
Addresses
Primary practice location
1307 Federal St
Suite B100
Pittsburgh, PA 15212-4769
Mailing address
1307 Federal St
Suite B100
Pittsburgh, PA 15212-4769
Phone (412) 359-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103187069 | Medicaid | PA |
Other names 1
- Stephanie Delores Dudzinski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA055666 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1316214679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST",
"address_2": "SUITE B100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "412-359-8900",
"fax_number": "412-359-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 FEDERAL ST",
"address_2": "SUITE B100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124769",
"telephone_number": "412-359-8900",
"fax_number": "412-359-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSSONG",
"first_name": "STEPHANIE",
"middle_name": "DELORES",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA055666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103187069",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DUDZINSKI",
"middle_name": "DELORES",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.