Active NPI
Heather Elizabeth Stock, M.D.
- Internal Medicine Physician
- Harrisburg, PA
National Provider Identifier
1700079431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD436659
- Practice address
- 4510 N Progress Ave
Harrisburg, PA 17110-3925 - Phone
- (717) 412-7622
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD436659 | PA | |
| Internal Medicine Physician | 207R00000X | MD436659 | PA | Primary |
Addresses
Primary practice location
4510 N Progress Ave
Harrisburg, PA 17110-3925
Mailing address
4510 N Progress Ave
Harrisburg, PA 17110-3925
Phone (717) 412-7622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1583951 | Other | PA | GATEWAY |
| 2117412 | Other | PA | HIGHMARK BLUE SHIELD |
| 415666 | Other | PA | UPMC |
| 10237268 | Medicaid | PA |
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 |
|---|---|---|---|
| MD436659 | PA | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1700079431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 N PROGRESS AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103925",
"telephone_number": "717-412-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 N PROGRESS AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103925",
"telephone_number": "717-412-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "HEATHER",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD436659",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD436659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1583951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2117412",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "415666",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10237268",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.