Stacie Madeline Cocke, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA059210 Issued in PA

Practice address

5074 Kernsville Rd
Orefield, PA 18069-2350

Phone

(610) 395-1993

Fax

(610) 395-2516

NPI assigned

Jun 30, 2006

Last updated

Feb 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stacie Geer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Genesee Valley Anesthesiologists

  • Anesthesiology Physician
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  • NPI 1316026149
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• Great Lakes Pain Consult PLLC

  • Pain Medicine (Anesthesiology) Physician
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  • NPI 1255370094
  NPD (past)
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  NPD (past)
• Surgical Associates of Midmichigan PC

  • Specialist
  • Midland, MI
  • NPI 1376618595
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1609805191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0469",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 KERNSVILLE RD",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692350",
            "telephone_number": "610-395-1993",
            "fax_number": "610-395-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKE",
        "first_name": "STACIE",
        "middle_name": "MADELINE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "03894",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003894",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "GEER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Ryan Clark, M.D.
• Margaret Ann Clark, M.S. CCC, SLP
• Samuel Claudio Jr., RN
• Clear Lenses Counseling
• Caroline Elizabeth Clee
• Gail Combs, PT
• Donald G Connell, CRNA
• Joshua L Contreras
• Dana J Cope, D.M.D.
• Seamus C Cunningham, CRNA

• Medical Physician Assistant in Orefield, PA
• Providers in Orefield, 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 Feb 5, 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.