NPIMap

Individual provider Active NPI

Stephanie M Traud, D.O.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1689964587
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016638 Issued in PA
Practice address
2828 Sterrettania Rd
Erie, PA 16506-3050
Phone
(814) 833-9700
Fax
(814) 464-0521
NPI assigned
Apr 12, 2011
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016638 PA Primary

Addresses

Primary practice location

2828 Sterrettania Rd
Erie, PA 16506-3050

Mailing address

2828 Sterrettania Rd
Erie, PA 16506-3050
Phone (814) 833-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address straud148961@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000730 PA Practitioner - Family Practice 2567604838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2828 Sterrettania Rd
Erie, PA 16506-3050
Phone (814) 833-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

2828 Sterrettania Rd
Erie, PA 16506
Phone (814) 833-9700

3530 Peach St
Erie, PA 16508
Phone (814) 864-0038

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1689964587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063050",
            "telephone_number": "814-833-9700",
            "fax_number": "814-464-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063050",
            "telephone_number": "814-833-9700",
            "fax_number": "814-464-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUD",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "straud148961@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2828 Sterrettania Rd",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165063050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.