Active NPI
Stephanie Jean Stockburger, M.D.
- Pediatrics Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 44727
- Practice address
- Uk Adolescent Medicine
740 South Limestone Street, Kentucky Clinic J-413
Lexington, KY 40536-0284 - Phone
- (859) 323-5643
- Fax
- (859) 323-3795
- NPI assigned
- Dec 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 44727 | KY | Primary |
Addresses
Primary practice location
Uk Adolescent Medicine
740 South Limestone Street, Kentucky Clinic J-413
Lexington, KY 40536-0284
Mailing address
Uk Adolescent Medicine
740 South Limestone Street, Kentucky Clinic J-413
Lexington, KY 40536-0284
Phone (859) 323-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Kentucky College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- sstockburger33206@ukhcdirect.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1619112596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UK ADOLESCENT MEDICINE",
"address_2": "740 SOUTH LIMESTONE STREET, KENTUCKY CLINIC J-413",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5643",
"fax_number": "859-323-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UK ADOLESCENT MEDICINE",
"address_2": "740 SOUTH LIMESTONE STREET, KENTUCKY CLINIC J-413",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5643",
"fax_number": "859-323-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKBURGER",
"first_name": "STEPHANIE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "44727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.