Individual provider Active NPI

Stacey Hope Popko, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1326484395
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD419354 Issued in PA
Practice address
3200 Park Lane Dr
Pittsburgh, PA 15275-1117
Phone
(412) 747-4128
NPI assigned
May 17, 2013
Last updated
May 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD419354 PA Primary

Addresses

Primary practice location

3200 Park Lane Dr
Pittsburgh, PA 15275-1117

Mailing address

3200 Park Lane Dr
Pittsburgh, PA 15275-1117
Phone (412) 747-4128

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD419354PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Emergency Physicia Past Accepting new patients
Family Practice Medical Associate South Inc. Past Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1326484395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PARK LANE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751117",
            "telephone_number": "412-747-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PARK LANE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751117",
            "telephone_number": "412-747-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKO",
        "first_name": "STACEY",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD419354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2013; 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.