Ellen Love Stang, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD044770L Issued in PA

Practice address

450 Plymouth Rd Ste 200
Plymouth Meeting, PA 19462-1647

Phone

(484) 362-6520

Fax

(610) 832-2010

NPI assigned

Oct 24, 2007

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Progenyhealth, LLC

  dba ProgenyHealth

  • Case Management Agency
  • Plymouth Meeting, PA
  • NPI 1578769949
  NPD Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1477732683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PLYMOUTH ROAD",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "19462",
            "telephone_number": "484-362-6520",
            "fax_number": "610-832-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PLYMOUTH RD STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621647",
            "telephone_number": "484-362-6520",
            "fax_number": "610-832-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANG",
        "first_name": "ELLEN",
        "middle_name": "LOVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD044770L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Stadvec
• Christopher Stafy
• Carolyn Stahl
• Suzanna Staller
• Alexandra Standish
• Tania Stanley-McKoy
• Angela Michele Stanton, RPH
• Amber Stapleton
• Shavonne Starling
• Joan Starr, RN

• Pediatrics Physician in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.