Active NPI
Michael M Stefan, MD
- Plastic Surgery Physician
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD036398E
- Practice address
- 730 W Lincoln Hwy
Exton, PA 19341-2547 - Phone
- (610) 827-1707
- Fax
- (610) 827-1708
- NPI assigned
- Jun 13, 2006
- Last updated
- Sep 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD036398E | PA | Primary |
Addresses
Primary practice location
730 W Lincoln Hwy
Exton, PA 19341-2547
Mailing address
730 W Lincoln Hwy
Exton, PA 19341-2547
Phone (610) 827-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932142650 | Other | PA | NPI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036398E | PA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Pennsylvania Plastic Surgery Associates | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
1 Tech Park Dr
Ste 1200
Johnstown, PA 15901
Phone (814) 534-6750
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1616 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 856-1123
120 S Filbert St
Mechanicsburg, PA 17055
Phone (717) 458-0930
Organizations & group practices 6
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 Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
dba Advantage Wound Care
- Surgery Physician
- El Segundo, CA
- NPI 1083883938
PA
-
dba Conemaugh Physicia Group - Highlands
- Family Medicine Physician
- Somerset, PA
- NPI 1164838512
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Specialist
- Philadelphia, PA
- NPI 1205905064
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1932142650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W LINCOLN HWY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412547",
"telephone_number": "610-827-1707",
"fax_number": "610-827-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W LINCOLN HWY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412547",
"telephone_number": "610-827-1707",
"fax_number": "610-827-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFAN",
"first_name": "MICHAEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD036398E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1932142650",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.