Active NPI
Suzanne M Stepanski, M.D.
- Family Medicine Physician
- Bloomsburg, PA
National Provider Identifier
1467452052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS015842
- Practice address
- 2407 Reichart Rd
Bloomsburg, PA 17815-8969 - Phone
- (570) 784-8303
- NPI assigned
- Jul 26, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS015842 | PA | Primary |
Addresses
Primary practice location
2407 Reichart Rd
Bloomsburg, PA 17815-8969
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194L8ST | Other | WI | ATRIUM COMMERCIAL |
| 2115052 | Other | WI | FIRST HEALTH |
| 5072 | Other | WI | MMSI |
| P00184725 | Other | WI | RAILROAD-MEDICARE ELROY |
| P00051176 | Other | WI | RAILROAD MEDICARE - HILLS |
| 194L8ST | Other | MN | MINNESOTA BCBS |
| 39092953818 | Other | WI | UNITY ELROY CLINIC |
| 43507300 | Medicaid | WI | |
| 39092953819 | Other | WI | UNITY - HILLSBORO CLINIC |
| 4120042P01 | Other | WI | CIGNA |
| 1042944 | Other | WI | PHYSICIANS PLUS |
| 13474 | Other | WI | DEAN HEALTH PLAN |
| HP67024 | Other | WI | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sstepanski270721@direct.geisinger.edu | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| St. Joseph'S Health Services, Inc. | Past | Accepting new patients |
Locations
2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320
4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200
100 N Academy Ave
Danville, PA 17822
16 Woodbine Ln
Danville, PA 17821
Phone (570) 271-6531
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Bloomsburg, PA
- NPI 1114977626
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Clinic/Center
- Elroy, WI
- NPI 1699788273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1467452052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 REICHART RD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158969",
"telephone_number": "570-784-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPANSKI",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS015842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM COMMERCIAL",
"identifier": "194L8ST",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2115052",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "5072",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD-MEDICARE ELROY",
"identifier": "P00184725",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - HILLS",
"identifier": "P00051176",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BCBS",
"identifier": "194L8ST",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY ELROY CLINIC",
"identifier": "39092953818",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43507300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY - HILLSBORO CLINIC",
"identifier": "39092953819",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4120042P01",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "1042944",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "13474",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP67024",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sstepanski270721@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2407 Reichart Rd",
"city": "Bloomsburg",
"state": "PA",
"country_code": "US",
"postal_code": "178158969",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.