Active NPI
Ronald Joseph Stephens
- Electroneurodiagnostic Specialist/Technologist
- South Park, PA
National Provider Identifier
1518673664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 3105 Shelley Dr
South Park, PA 15129-8883 - Phone
- (304) 702-4281
- NPI assigned
- Jan 23, 2023
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
3105 Shelley Dr
South Park, PA 15129-8883
Mailing address
3105 Shelley Dr
South Park, PA 15129-8883
Phone (304) 702-4281
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1518673664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 SHELLEY DR",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298883",
"telephone_number": "304-702-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 SHELLEY DR",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298883",
"telephone_number": "304-702-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Park, PA
- Lisa Marie Puglisi
- Alison Hanlon Quirin
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01589)
- South Park School District
- Charlotte Jean Steimer, CCCSLP
- Sundance Rehabilitation Corporation
- Ryan Walter Tappe, LCSW
- Rebecca Vlahos, PT, DPT
- Michelle Ann Voelker, LPC
- Gregory Steven Volensky, GREG VOLENSKY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.