NPIMap

Individual provider Active NPI

Stephanie Pike McDonald, PA

  • Surgical Physician Assistant
  • Sonora, CA
National Provider Identifier
1710160353
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10000970A Issued in IN
Practice address
680 Guzzi LN Ste 105
Sonora, CA 95370-5288
Phone
(209) 532-0126
Fax
(209) 532-2950
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10000970A IN Primary

Addresses

Primary practice location

680 Guzzi LN Ste 105
Sonora, CA 95370-5288

Mailing address

13005 Covey Cir
Sonora, CA 95370-6934
Phone (209) 532-0126

Other identifiers 1

IdentifierTypeStateIssuer
000000556059OtherINANTHEM

Other names 1

  • Stephanie Marie Pike Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091121000018 CA Practitioner - Physician Assistant 3678656386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

680 Guzzi LN
Sonora, CA 95370-5288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000970AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Orthopedic Institute Medical Corporation CurrentSince May 29, 2012 Accepting new patients
Sonora Community Hospital CurrentSince Apr 19, 2011 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

14542 Lolly Ln
Sonora, CA 95370
Phone (209) 536-3625

13949 Mono Way
Sonora, CA 95370
Phone (209) 213-9184

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

680 Guzzi Ln
Sonora, CA 95370

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1710160353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 COVEY CIR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953706934",
            "telephone_number": "209-532-0126",
            "fax_number": "209-532-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN STE 105",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-532-0126",
            "fax_number": "209-532-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STEPHANIE",
        "middle_name": "PIKE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000970A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000556059",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PIKE",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.