Individual provider Active NPI

Stephen R. Whitmoyer, M.D.

  • Diagnostic Radiology Physician
  • Lebanon, PA
National Provider Identifier
1720033954
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD051390L Issued in PA
Practice address
Fourth and Walnut Streets
Attn: Radiology Department
Lebanon, PA 17042-1281
Phone
(717) 270-7645
Fax
(717) 270-7596
NPI assigned
May 24, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD051390L PA Primary
Vascular & Interventional Radiology Physician 2085R0204X MD051390L PA

Addresses

Primary practice location

Fourth and Walnut Streets
Attn: Radiology Department
Lebanon, PA 17042-1281

Mailing address

Fourth and Walnut Streets
Attn: Radiology Department
Lebanon, PA 17042-1281
Phone (717) 270-7645

Other identifiers 1

IdentifierTypeStateIssuer
001708351MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000137 PA Practitioner - Diagnostic Radiology 2163417759

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051390LPAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
Montgomery Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
Montgomery Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
Anthracite Imaging Associates, P.C. Diagnostic Radiology PastSince Oct 2, 2004 Accepting new patients
New Jersey Imaging Associates, PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1720033954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOURTH AND WALNUT STREETS",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421281",
            "telephone_number": "717-270-7645",
            "fax_number": "717-270-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOURTH AND WALNUT STREETS",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421281",
            "telephone_number": "717-270-7645",
            "fax_number": "717-270-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMOYER",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD051390L",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD051390L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001708351",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.