Active NPI
Russell J Stankiewicz, MD
- Obstetrics & Gynecology Physician
- Lewisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD040749E
- Practice address
- 3 Hospital Dr Ste 312
Lewisburg, PA 17837-8909 - Phone
- (570) 523-8700
- Fax
- (570) 523-8705
- NPI assigned
- Jan 9, 2006
- Last updated
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD040749E | PA | Primary |
Addresses
Primary practice location
3 Hospital Dr Ste 312
Lewisburg, PA 17837-8909
Mailing address
1 Hospital Dr
Suite 306
Lewisburg, PA 17837-9350
Phone (570) 522-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011194140001 | Medicaid | PA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000
21 Susquehanna Valley Mall Dr
Suite C
Selinsgrove, PA 17870-9148
Phone (570) 524-6974
3 Hospital Dr
Lewisburg, PA 17837-9394
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040749E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Obstetrics & Gynecology | Current | Accepting new patients |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Community Hospital | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
3 Hospital Dr
Ste 216
Lewisburg, PA 17837
Phone (570) 523-8700
3 Hospital Dr
Ste 312
Lewisburg, PA 17837
Phone (570) 523-8700
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- rstankiewicz485368@wellspan.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Lewisburg, PA
- NPI 1760407647
-
dba WellSpan Urology
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
dba WellSpan Family Medicine
- Family Medicine Physician
- Lewisburg, PA
- NPI 1295834984
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Evangelical Community Hospital
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Evangelical Community Hospital
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1891773875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4144",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL DR STE 312",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178378909",
"telephone_number": "570-523-8700",
"fax_number": "570-523-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKIEWICZ",
"first_name": "RUSSELL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD040749E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011194140001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.