Organization Active NPI

Stephen a. Sturtz, DO PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1891804944
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEPHEN A. STURTZ, DO PC
Practice address
6557 Roosevelt Blvd
Philadelphia, PA 19149-2918
Phone
(215) 535-1900
Fax
(215) 535-7950
NPI assigned
Aug 30, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STEPHEN A STURTZ DO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Stephen Sturtz, DONPI 1376650341
Title
Owner
Phone
(215) 535-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6557 Roosevelt Blvd
Philadelphia, PA 19149-2918

Mailing address

6557 Roosevelt Blvd
Philadelphia, PA 19149-2918
Phone (215) 535-1900

Other identifiers 2

IdentifierTypeStateIssuer
0591263MedicaidPA
DD2597OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory
Part of
Stephen a Sturtz DO PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1891804944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492918",
            "telephone_number": "215-535-1900",
            "fax_number": "215-535-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492918",
            "telephone_number": "215-535-1900",
            "fax_number": "215-535-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. STURTZ, DO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN A STURTZ DO PC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "STURTZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-535-4100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0591263",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2597",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.