Individual provider Active NPI

Michael M Stefan, MD

  • Plastic Surgery Physician
  • Exton, PA
National Provider Identifier
1932142650
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD036398E Issued in PA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1932142650OtherPANPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000281 PA Practitioner - Plastic and Reconstructive Surgery 8820145949 Reassigns benefits to 2 organizations
Practice locations: Exton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036398EPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Mar 26, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 8, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 8, 2017 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.

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

Verify at the official NPI Registry.