Organization Active NPI

Stephen D Hess MD PC

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1629415963
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD433802 Issued in PA
Legal business name
STEPHEN D HESS MD PC
Practice address
1500 Walnut St
Suite 1240
Philadelphia, PA 19102-3523
Phone
(267) 687-4437
Fax
(267) 687-4438
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Stephen D. Hess, MDNPI 1033279955
Title
Owner
Phone
(267) 687-4437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD433802 PA Primary

Addresses

Primary practice location

1500 Walnut St
Suite 1240
Philadelphia, PA 19102-3523

Mailing address

1500 Walnut St
Suite 1240
Philadelphia, PA 19102-3523
Phone (267) 687-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000340 PA Part B Supplier - Clinic/Group Practice 4082854922 Receives reassigned benefits from 6 practitioners
Practice locations: Exton, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

142 Wallace Ave
Ste 108
Downingtown, PA 19335

760 W Lincoln Hwy
Unit 10B
Exton, PA 19341

1500 Walnut St
Ste 1240
Philadelphia, PA 19102
Phone (267) 687-4437

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1629415963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "address_2": "SUITE 1240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "267-687-4437",
            "fax_number": "267-687-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "address_2": "SUITE 1240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "267-687-4437",
            "fax_number": "267-687-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D HESS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-687-4437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD433802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.