Individual provider Active NPI

Joseph R Stenger, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Barre, MA
National Provider Identifier
1699759142
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
73860 Issued in MA
Practice address
151 Worcester Rd
Barre, MA 01005-9002
Phone
(978) 355-6321
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131120000400 OR Practitioner - Family PracticePractitioner - Hospice/Palliative Care 2163460536 Reassigns benefits to 1 organization
I20140909000470 WA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 2163460536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73860MAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jul 5, 2014 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 5, 2014 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Oct 15, 2013 Accepting new patients
Legacy Clinics LLC Hospice and Palliative Medicine CurrentSince Oct 15, 2013 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine Past Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73860 MA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 73860 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

151 Worcester Rd
Barre, MA 01005-9002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3194698MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2012.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1699759142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WORCESTER RD",
            "city": "BARRE",
            "state": "MA",
            "postal_code": "010059002",
            "telephone_number": "978-355-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGER",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "73860",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "73860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3194698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, MA

Sources for this page

Verify at the official NPI Registry.