Individual provider Active NPI

Scott Ephraim Stein, PA-C

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1790716256
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA000445L Issued in PA
Practice address
1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470
Phone
(610) 776-1603
Fax
(610) 776-0693
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA000445L PA Primary
Medical Physician Assistant 363AM0700X MA003138L PA

Addresses

Primary practice location

1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470

Mailing address

1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470
Phone (610) 776-1603

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003138LPAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1790716256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-776-1603",
            "fax_number": "610-776-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-776-1603",
            "fax_number": "610-776-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SCOTT",
        "middle_name": "EPHRAIM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000445L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003138L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; 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.