Maxwell Stepanuk, Jr., D.O., P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS003544L Issued in PA

Legal business name

MAXWELL STEPANUK, JR., D.O., P.C.

Practice address

60 Township Line Rd
Elkins Park, PA 19027-2220

Phone

(215) 663-6634

Fax

(215) 663-6962

NPI assigned

Jul 10, 2009

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Prince

Title

Office Manager

Phone

(215) 663-6634

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1477782530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6634",
            "fax_number": "215-663-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6634",
            "fax_number": "215-663-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL STEPANUK, JR., D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-663-6634"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS003544L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Bruce Matthews, M.D.
• Mattia Chiropratic PC
• Celeste Anne Mattia, D.C.
• Ellen Horowitz Matz, LMSW
• Michael Stanley Matz, DMD
• Nathaniel H. Mayer, MD
• Laurence J Mazin, DDS
• Helen McBlane, RDN, LDN
• Rebecca McBride, COTA
• Andrea McGady

• Orthopaedic Surgery Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.