Steven T. Puccio, DO
Individual provider Active NPI Orthopaedic Surgery Physician · Bethlehem, PA
NPI 1902809288 · NPPES record last updated Jul 5, 2011
Key facts
- NPI
- 1902809288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- OS007746L (PA)
- Practice address
- 801 Ostrum St
Pphp2
Bethlehem, PA 18015-1000 - Phone
- (610) 954-1735
- Fax
- (610) 954-2429
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070418000340 | PA | Practitioner - Orthopedic Surgery | 9133110760 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007746L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group Inc. | Current |
Accepting new patients | |
| St. Luke'S Physician Group Inc | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Sports Medicine North Orthopaedic Surgery, Inc. | Past | Accepting new patients | |
| Lehigh Valley Bone Muscle and Joint | Orthopaedic Surgery | Past | Accepting new patients |
| St. Luke'S Hospital | Past | Accepting new patients | |
| St. Luke'S Hospital | Past | Accepting new patients |
Locations
9 Galen St
Ste 240
Watertown, MA 02472
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
1800 Sullivan Trl
Ste 350
Easton, PA 18040
Phone (610) 250-8799
701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400
801 Ostrum St
Ste 2
Fountain Hill, PA 18015
Phone (610) 954-1735
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS007746L | PA | Yes |
Addresses
Primary practice location
801 Ostrum St
Pphp2
Bethlehem, PA 18015-1000
Mailing address
801 Ostrum St
Pphp2
Bethlehem, PA 18015-1000
Phone (610) 954-1735
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001711965 | Medicaid | PA |
Other providers in Bethlehem, PA
- Kelly Pryce
- Joseph Przybylowicz
- Justin P. Psaila
- Stamatios G Psarros
- Psychology Associates of Bethlehem, PC
- Michael J Pugeda
- Jennifer Pugliese
- Patricia Jane Pugliese
- Peter R. Puleo
- Leela Puli
All providers in Bethlehem, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.