Provider Demographics
NPI:1205951761
Name:JAMES N. STENGEL, D.O., LTD
Entity type:Organization
Organization Name:JAMES N. STENGEL, D.O., LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:STENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-757-4342
Mailing Address - Street 1:2930 CAROL RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4159
Mailing Address - Country:US
Mailing Address - Phone:717-757-4342
Mailing Address - Fax:717-840-1613
Practice Address - Street 1:2930 CAROL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4159
Practice Address - Country:US
Practice Address - Phone:717-757-4342
Practice Address - Fax:717-840-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
PAOS002579L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA116371OtherMEDICARE PROVIDER ID
PA1007725930001Medicaid
PA1007725930001Medicaid