Wawrzyniec Lawrence Stepczak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD058917L Issued in PA

Practice address

29 Woodlands Drive
Waymart, PA 18472

Phone

(570) 488-9770

Fax

(570) 488-9782

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Penn Comprehensive Health Services

  • Federally Qualified Health Center (FQHC)
  • Laporte, PA
  • NPI 1093520587
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1790798882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-251-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WOODLANDS DRIVE",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "570-488-9770",
            "fax_number": "570-488-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPCZAK",
        "first_name": "WAWRZYNIEC",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058917L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001864599",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Quinones
• Cathy Marie Salak, DMD
• Mollie Schubert, M.S. CCC-SLP
• Colleen C Siepiela-Carmody
• Silvercrestmd,P.C.
• Jessica Marie Taylor, PA-C
• Connie Lee Thomas
• True North Body & Mind LLC
• Neha Ann Varghese
• Jennifer Villano

• Internal Medicine Physician in Waymart, PA
• Providers in Waymart, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.