Stephen Eric Cahoon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053323 Issued in PA

Practice address

510 Route 6 and 209 Ste 103
Milford, PA 18337-7615

Phone

(570) 296-4901

Fax

(570) 296-5480

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pediatric Practices of Northeastern PA

  • Pediatrics Physician
  • Milford, PA
  • NPI 1861722902
  NPD (past)
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528037090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 ROUTE 6 AND 209",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379490",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ROUTE 6 AND 209 STE 103",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377615",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27B Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184729366",
            "country_code": "US",
            "telephone_number": "570-488-9550 x104",
            "fax_number": "570-488-9553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ariel",
            "state": "PA",
            "postal_code": "184365606",
            "country_code": "US",
            "telephone_number": "570-689-7565 x104",
            "fax_number": "570-689-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1837 Fair Ave",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184312121",
            "country_code": "US",
            "telephone_number": "570-253-5838 x104",
            "fax_number": "570-253-6678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAHOON",
        "first_name": "STEPHEN",
        "middle_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033497100002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033497100004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033497100001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033497100003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin K R Brink, M.A.
• Marina Buckley, MD
• Richard Earl Buckley, M.D.
• Kathleen Grace Burns, M.S. ED/
• Shalini C Byadgi, MD
• Katharine S Callegari
• Carbon-Monroe-Pike MH/Mr Program
• Carbon-Monroe-Pike MH/Mr Program
• Care HSL Belle Reve Opco LLC
• Carestat Health Inc

• Medical Physician Assistant in Milford, PA
• Providers in Milford, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.