Provider Demographics
NPI:1184689655
Name:FALATYN, STEPHEN P (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:FALATYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:STE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-1700
Mailing Address - Fax:610-973-1778
Practice Address - Street 1:250 CETRONIA ROAD
Practice Address - Street 2:SUITE 303
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:610-973-6546
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD058045L207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00389589OtherRAILROAD MEDICARE
PA5965444OtherAETNA
PA821242OtherFIRST PRIORITY HEALTH
PA0015733030002Medicaid
PA0892304000OtherINDEPENDENCE BLUE CROSS
PA38030OtherGEISINGER
PA50064578OtherBLUE CROSS/KEYSTONE CENTRAL
PA848744OtherBLUE SHIELD
PAG23969Medicare UPIN
PA821242OtherFIRST PRIORITY HEALTH