Stephanie Anne Prosperi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD062711L Issued in PA

Practice address

404 W Main St
Uniontown, PA 15401-2868

Phone

(724) 439-4990

Fax

(724) 439-4155

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760410583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 WHITNEY COURT DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156504675",
            "telephone_number": "724-423-7762",
            "fax_number": "724-439-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012868",
            "telephone_number": "724-439-4990",
            "fax_number": "724-439-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSPERI",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062711L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35 077386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Primary Care Physicians
• Ari Edward Pressman, MD
• Megan Primus
• Ellen Pritchard, RN
• Professional Dental Alliance Specialty 2
• Brenda Gaydos Proud, PHYSICAL THERAPIST
• Jacob Provance
• Jessica Provance
• Psyche Fitness, LLC
• Qpharma Inc

• Family Medicine Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.