NPIMap

Individual provider Active NPI

Susannah M. Stair, MD

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1972595387
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD423727 Issued in PA
Practice address
2925 William Penn Hwy Ste 201
Easton, PA 18045-5283
Phone
(610) 258-1400
Fax
(833) 932-1218
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD423727 PA
Internal Medicine Physician 207R00000X MD423727 PA Primary

Addresses

Primary practice location

2925 William Penn Hwy Ste 201
Easton, PA 18045-5283

Mailing address

2925 William Penn Hwy Ste 201
Easton, PA 18045-5283
Phone (106) 258-1400

Other identifiers 2

IdentifierTypeStateIssuer
1629736OtherPAHIGHMARK PIN
1010908100001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000682 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9133190416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Hahnemann University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2925 William Penn Hwy
Suite 201
Easton, PA 18045-5283
Phone (610) 258-1400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Physician Group, Inc Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 7, 2020 Accepting new patients
Steward Medical Group Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

325 Pine St
Easton, PA 18042
Phone (484) 546-5880

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

205 S 22nd St
Easton, PA 18042
Phone (610) 250-4452

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1972595387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WILLIAM PENN HWY STE 201",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455283",
            "telephone_number": "106-258-1400",
            "fax_number": "833-932-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 WILLIAM PENN HWY STE 201",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455283",
            "telephone_number": "610-258-1400",
            "fax_number": "833-932-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIR",
        "first_name": "SUSANNAH",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD423727",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD423727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PIN",
            "identifier": "1629736",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010908100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.