Individual provider Active NPI

James M Stahl, PA

  • Physician Assistant
  • Lock Haven, PA
National Provider Identifier
1851383442
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2001021776 Issued in MO
Practice address
560 McElhattan Dr.
Lock Haven, PA 17748
Phone
(570) 263-4042
Fax
(570) 769-5022
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 2001021776 MO Primary

Addresses

Primary practice location

560 McElhattan Dr.
Lock Haven, PA 17748

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstahl164100@direct.geisinger.edu Direct

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
I20140707000008 PA Practitioner - Physician Assistant 1850364001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

10 Choate Cir
Montoursville, PA 17754-9791
Phone (570) 368-5566

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1824 E 3Rd St
Williamsport, PA 17701-3914
Phone (570) 601-2200

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

224 N Logan Blvd
Suite 220
Burnham, PA 17009-1850
Phone (717) 242-0196

226 Buckaroo Lane
Bellefonte, PA 16823-9120
Phone (814) 353-3519

68 Spring St
Lock Haven, PA 17745-1911
Phone (800) 230-4565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001021776MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 15, 2018 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Jul 15, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Oct 21, 2020 Accepting new patients
Geisinger-HM Joint Venture LLC CurrentSince Oct 21, 2020 Accepting new patients
Geisinger Clinic Past Accepting new patients
Twin Rivers Emergency Physicians, LLC PastSince Jan 1, 1990 Accepting new patients
Kennett Emergency Physicians Past Accepting new patients
Missouri Em-I Medical Services, PC Past Accepting new patients

Locations

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

Interoperability endpoints

  • Direct secure messaging: jstahl164100@direct.geisinger.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1851383442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MCELHATTAN DR.",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17748",
            "telephone_number": "570-263-4042",
            "fax_number": "570-769-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2001021776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstahl164100@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "560 McElhattan Dr.",
            "city": "Lock haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.