Active NPI
Stephanie L McCune, PAC
- Physician Assistant
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TMA051563
- Practice address
- 1200 Old York Road
Abington, PA 19001 - Phone
- (215) 481-4355
- Fax
- (215) 481-4629
- NPI assigned
- Jul 17, 2006
- Last updated
- May 24, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TMA051563 | PA | Primary |
Addresses
Primary practice location
1200 Old York Road
Abington, PA 19001
Mailing address
PO Box 3012
Wilmington, DE 19804
Phone (800) 456-4629
Other names 1
- Stephanie L Bouffard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TMA051563 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Urgent Care Center of Richmond Hill, LLC | Current | Accepting new patients | |
| The Urgent Care Center of Richmond Hill, LLC | Current | Accepting new patients | |
| Doylestown Emergency Associates PC | Past | Accepting new patients |
Locations
632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545
2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273
60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273
463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001
318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515
818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273
Interoperability endpoints
- stephanie.mccune.1@31652.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Richmond Hill, GA
- NPI 1144084856
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
dba ExperCARE
- Urgent Care Clinic/Center
- Richmond Hill, GA
- NPI 1821233354
-
dba Urgent Care of Berwick
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1083018485
-
dba ExperCARE
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1447610373
-
dba ExperCARE Health
- Urgent Care Clinic/Center
- Hinesville, GA
- NPI 1760265151
-
- Urgent Care Clinic/Center
- Doylestown, PA
- NPI 1316308703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1326065830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "800-456-4629",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK ROAD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "19001",
"telephone_number": "215-481-4355",
"fax_number": "215-481-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUNE",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "TMA051563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BOUFFARD",
"middle_name": "L",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.