Provider Demographics
NPI:1992800700
Name:STEMPEL, MEREDITH D (MD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:D
Last Name:STEMPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:LEARN ROAD UNIT 101
Mailing Address - City:TANNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18372-0597
Mailing Address - Country:US
Mailing Address - Phone:570-620-2017
Mailing Address - Fax:570-620-2017
Practice Address - Street 1:1 LEARN RD
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18372-0597
Practice Address - Country:US
Practice Address - Phone:570-620-2017
Practice Address - Fax:570-620-2017
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034208E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013981500003Medicaid
A60409Medicare UPIN
PA549446Medicare ID - Type Unspecified