Lewisburg Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LEWISBURG PEDIATRICS

Practice address

55 Medical Park Dr
Lewisburg, PA 17837-6343

Phone

(570) 523-3264

Fax

(570) 523-3465

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Elam R Stoltzfus, M.D.

Title

Pediatrician

Phone

(570) 523-3264

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1407840283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEDICAL PARK DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376343",
            "telephone_number": "570-523-3264",
            "fax_number": "570-523-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEDICAL PARK DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376343",
            "telephone_number": "570-523-3264",
            "fax_number": "570-523-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "STOLTZFUS",
        "authorized_official_first_name": "ELAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "570-523-3264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008830340003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lewis
• Neyonka Lewis
• Lewisburg Area School District
• Lewisburg Cancer Center LLC
• Lewisburg Family Chiropractic
• Lewisburg Pharmacy
• Lewisburg Pharmacy Homecare
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg RX

• Pediatrics Physician in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.