Active NPI
Stephen H Sinclair, M.D.
- Ophthalmology Physician
- Media, PA
National Provider Identifier
1679542443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD022777E
- Practice address
- 200 E State St
Suite 301
Media, PA 19063-3434 - Phone
- (610) 892-1708
- Fax
- (610) 892-7866
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD022777E | PA | Primary |
| Ophthalmology Physician | 207W00000X | C10004246 | DE |
Addresses
Primary practice location
200 E State St
Suite 301
Media, PA 19063-3434
Mailing address
200 E State St
Suite 301
Media, PA 19063-3434
Phone (610) 892-1708
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015279550001 | Medicaid | PA | |
| 0053177000 | Other | PA | KEYSTONE INDIVIDULE ID # |
| 31188 | Other | PA | AETNA US HEALTHCARE |
| 7016527003 | Other | PA | CIGNA |
| 0794182000 | Other | PA | KEYSTONE GROUP ID |
| 119503 | Other | PA | BLUE CROSS BLUE SHIELD |
| A19503 | Other | PA | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10004246 | DE | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1679542443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E STATE ST",
"address_2": "SUITE 301",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633434",
"telephone_number": "610-892-1708",
"fax_number": "610-892-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E STATE ST",
"address_2": "SUITE 301",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633434",
"telephone_number": "610-892-1708",
"fax_number": "610-892-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "STEPHEN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD022777E",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DE",
"license": "C10004246",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015279550001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE INDIVIDULE ID #",
"identifier": "0053177000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "31188",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7016527003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE GROUP ID",
"identifier": "0794182000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "119503",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "A19503",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.