Stacie Madeline Cocke, PA
Individual provider Active NPI Medical Physician Assistant · Orefield, PA
NPI 1609805191 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1609805191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- MA059210 (PA)
- Practice address
- 5074 Kernsville Rd
Orefield, PA 18069-2350 - Phone
- (610) 395-1993
- Fax
- (610) 395-2516
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03894 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Past | Accepting new patients | |
| Great Lakes Pain Consult PLLC | Past | Accepting new patients | |
| Genesee Valley Anesthesiologists | Past | Accepting new patients | |
| Surgical Associates of Midmichigan PC | Past | Accepting new patients | |
| Maxime G Gedeon MD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 03894 | MI | |
| Physician Assistant | 363A00000X | 5601003894 | MI | |
| Medical Physician Assistant | 363AM0700X | MA059210 | PA | Yes |
Addresses
Primary practice location
5074 Kernsville Rd
Orefield, PA 18069-2350
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-0469
Other names
- Stacie Geer
Other providers in Orefield, PA
- Andrew Ryan Clark
- Margaret Ann Clark
- Samuel Claudio Jr.
- Clear Lenses Counseling
- Caroline Elizabeth Clee
- Gail Combs
- Donald G Connell
- Joshua L Contreras
- Dana J Cope
- Kristi Culp
All providers in Orefield, PA · Medical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.