Stanley T Depman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD033216E Issued in PA

Practice address

3542 Welsh Rd
Philadelphia, PA 19136-2623

Phone

(215) 333-6888

Fax

(215) 333-3945

NPI assigned

Aug 31, 2005

Last updated

May 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• NE Physician Services Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1518923036
  NPD (past) Authorized official
• Primecare Philadelphia PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1801230065
  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1689667065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362623",
            "telephone_number": "215-333-6888",
            "fax_number": "215-333-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPMAN",
        "first_name": "STANLEY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033216E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0058417000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "081201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0058417000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080162557",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2676083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0163653904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "081201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1066839",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5829300",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01011636539",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Mary Depasquale, PHARMD
• Jacqueline W. Depasse, MD
• Dependable Care Services of PA Inc (Dependable Nursing Services Of FL INC)
• Dependable Home Care Inc.
• Daniel Depietro
• Joy Angelyn Deppen
• Katherine Elizabeth Deppen, BS, OTA/L
• Victoria Kristine Deputy, MSN, CRNP
• Ashley Marie Depuy, PHARMD
• Ava V Derago

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.