Individual provider Active NPI

Stanley Spencer Lubeck, DPM

  • Podiatrist
  • Springfield, PA
National Provider Identifier
1528130705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001177L Issued in PA
Practice address
501 Wesley Rd
Springfield, PA 19064-2012
Phone
(610) 543-1973
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001177L PA Primary

Addresses

Primary practice location

501 Wesley Rd
Springfield, PA 19064-2012

Mailing address

501 Wesley Rd
Springfield, PA 19064-2012
Phone (610) 543-1973

Other identifiers 1

IdentifierTypeStateIssuer
0074268000OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315001007 PA Practitioner - Podiatry 1557543329 Practice locations: Springfield, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1958
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Wesley Rd
Springfield, PA 19064-2012
Phone (610) 543-1973

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue81
Removal or shaving of skin growth145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528130705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WESLEY RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642012",
            "telephone_number": "610-543-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WESLEY RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642012",
            "telephone_number": "610-543-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBECK",
        "first_name": "STANLEY",
        "middle_name": "SPENCER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001177L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0074268000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.