NPIMap

Organization Active NPI

Stanton S. Lebouitz, M.D., P.C.

  • Specialist
  • York, PA
National Provider Identifier
1750406922
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD011092E Issued in PA
Legal business name
STANTON S. LEBOUITZ, M.D., P.C.
Practice address
1936 Powder Mill Rd
York, PA 17402-4725
Phone
(717) 741-0811
Fax
(717) 741-9499
NPI assigned
Mar 20, 2007
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Ms. Peggy Ann McWilliams
Title
Office Manager
Phone
(717) 741-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD011092E PA Primary

Addresses

Primary practice location

1936 Powder Mill Rd
York, PA 17402-4725

Mailing address

1936 Powder Mill Rd
York, PA 17402-4725
Phone (717) 741-0811

Other identifiers 3

IdentifierTypeStateIssuer
62987OtherPAHIGHMARK BLUE SHIELD
305100OtherPACAPITAL BLUE CROSS
78688MedicaidPA

National Provider Directory

National Provider Directory

Locations

1936 Powder Mill Rd
York, PA 17402
Phone (717) 741-0811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1750406922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024725",
            "telephone_number": "717-741-0811",
            "fax_number": "717-741-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024725",
            "telephone_number": "717-741-0811",
            "fax_number": "717-741-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON S. LEBOUITZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-741-0771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD011092E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "62987",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "305100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78688",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.