Stacey Parker-Johnson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT011325 Issued in PA

Practice address

500 Old York Rd
Suite 108
Jenkintown, PA 19046-2852

Phone

(215) 481-2725

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• City of Philadelphia

  dba Health Care Center 2

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment Care Compare group NPD
• City of Philadelphia

  dba Health Care Center 6

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1023125085
  NPD
• City of Philadelphia

  dba Phila Health Dept Laboratory

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1952560583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD YORK RD",
            "address_2": "SUITE 108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462852",
            "telephone_number": "215-481-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD YORK RD",
            "address_2": "SUITE 108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462852",
            "telephone_number": "215-481-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-JOHNSON",
        "first_name": "STACEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT011325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lualhati Pahilanga
• John Shedlosky Panas, DMD
• Mariana Pardes
• Pari Home Care Inc
• Mee Soon Park, MD
• Lisa H Parker
• Johanna Parkin
• Parvesh Services LLC
• Shradhdha Yatin Patel, CRNP
• Paul-Durocher Certified Registered Nurse Practitioner Consultants (Integrated Care)

• Family Medicine Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.