Active NPI
Philip Dennison Stieg, M.D.
- Diagnostic Radiology Physician
- Lebanon, PA
National Provider Identifier
1467499079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD037554E
- Practice address
- Fourth & Walnut Streets
Radiology Department
Lebanon, PA 17042-1281 - Phone
- (717) 270-7645
- Fax
- (717) 270-7639
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD037554E | PA | Primary |
Addresses
Primary practice location
Fourth & Walnut Streets
Radiology Department
Lebanon, PA 17042-1281
Mailing address
PO Box 347358
Pittsburgh, PA 15251-4358
Phone (717) 270-7645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001154576 | Medicaid | PA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037554E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Radiology Associates, PC | Diagnostic Radiology | 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.
-
- Diagnostic Radiology Physician
- Oaks, PA
- NPI 1508041393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1467499079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347358",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152514358",
"telephone_number": "717-270-7645",
"fax_number": "717-270-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOURTH & WALNUT STREETS",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "LEBANON",
"state": "PA",
"postal_code": "170421281",
"telephone_number": "717-270-7645",
"fax_number": "717-270-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIEG",
"first_name": "PHILIP",
"middle_name": "DENNISON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD037554E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001154576",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.