Individual provider Active NPI

Doreen R Storz, PA-C, LCSW

  • Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1821038829
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA-001215L Issued in PA
Practice address
1235 Penn Ave
Wyomissing, PA 19610-2100
Phone
(610) 374-4963
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA-001215L PA Primary

Addresses

Primary practice location

1235 Penn Ave
Wyomissing, PA 19610-2100

Mailing address

1235 Penn Ave
Wyomissing, PA 19610-2100
Phone (610) 374-4963

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001333 PA Practitioner - Physician Assistant 9739162769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Guidance CenterGroup PAC ID 1850291303, 22 clinicians
Haven Behavioral Services of Reading LLCGroup PAC ID 4183810807, 14 clinicians

Practice addresses (Care Compare)

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610-1249
Phone (610) 374-4963

1800 N 12TH St
Suite 2
Reading, PA 19604-1545
Phone (610) 816-5728

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA-001215LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Behavioral Health, LLC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1821038829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORZ",
        "first_name": "DOREEN",
        "middle_name": "R",
        "credential": "PA-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA-001215L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.