Individual provider Active NPI

Judith M Stranko, DO

  • Pediatrics Physician
  • Harrisburg, PA
National Provider Identifier
1982713533
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS-005101-L Issued in PA
Practice address
2645 N 3Rd St
Harrisburg, PA 17110-2001
Phone
(717) 782-4650
Fax
(717) 782-4665
NPI assigned
Aug 29, 2006
Last updated
Dec 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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 OS-005101-L PA Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X OS005101L PA

Addresses

Primary practice location

2645 N 3Rd St
Harrisburg, PA 17110-2001

Mailing address

118 Washington St
Harrisburg, PA 17104-1677
Phone (717) 231-8539

Other identifiers 6

IdentifierTypeStateIssuer
50054768OtherPACAPITAL BLUE CROSS (CAIC)
ST739901OtherPAHIGHMARK BLUE SHIELD
7739901OtherPAGATEWAY
0014105220004MedicaidPA
143501OtherPAUNISON
672165OtherPAFIRSTHEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstranko6914@phsdirect.pinnaclehealth.org

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
I20160404000871 PA Practitioner - Pediatric Medicine 0446557631 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-005101-LPAMDPediatrics Physician
OS005101LPAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Feb 6, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 6, 2016 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients

Locations

118 Washington St
Harrisburg, PA 17104
Phone (717) 231-8539

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2645 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-4650

2645 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-4650

Interoperability endpoints

  • Direct secure messaging: jstranko6914@phsdirect.pinnaclehealth.org

Organizations & group practices 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1982713533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041677",
            "telephone_number": "717-231-8539",
            "fax_number": "717-231-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102001",
            "telephone_number": "717-782-4650",
            "fax_number": "717-782-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANKO",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS-005101-L",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "PA",
            "license": "OS005101L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS (CAIC)",
            "identifier": "50054768",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "ST739901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7739901",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014105220004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "143501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "672165",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstranko6914@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2645 N 3rd St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171102001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.