Active NPI
Blake Stoveken
- Acupuncturist
- Milford, PA
National Provider Identifier
1962036095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- KO000639
- Practice address
- 101 Roberts LN
Milford, PA 18337-7836 - Phone
- (570) 409-9233
- NPI assigned
- Feb 27, 2020
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KO000639 | PA | Primary |
Addresses
Primary practice location
101 Roberts LN
Milford, PA 18337-7836
Mailing address
100 By the Brook LN
Dingmans Ferry, PA 18328-9550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KO000639 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1962036095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BY THE BROOK LN",
"city": "DINGMANS FERRY",
"state": "PA",
"postal_code": "183289550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROBERTS LN",
"city": "MILFORD",
"state": "PA",
"postal_code": "183377836",
"telephone_number": "570-409-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVEKEN",
"first_name": "BLAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.