Active NPI
Eric Durell Stacher, MD
- Pediatrics Physician
- Waynesburg, PA
National Provider Identifier
1932210473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD037668L
- Practice address
- 142 W High St
Waynesburg, PA 15370 - Phone
- (724) 852-1710
- Fax
- (724) 852-1833
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD037668L | PA | Primary |
Addresses
Primary practice location
142 W High St
Waynesburg, PA 15370
Mailing address
142 W High St
Waynesburg, PA 15370
Phone (724) 852-1710
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28774 | Other | HEALTH ASSURANCE | |
| ST67882 | Other | BLUE SHIELD | |
| 78008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037668L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932210473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 W HIGH ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "15370",
"telephone_number": "724-852-1710",
"fax_number": "724-852-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 W HIGH ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "15370",
"telephone_number": "724-852-1710",
"fax_number": "724-852-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHER",
"first_name": "ERIC",
"middle_name": "DURELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD037668L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "28774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ST67882",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.