DR. STEPHANIE MICHELLE RABENOLD (NPI# 1568802965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568802965 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE MICHELLE RABENOLD |
| Credential | D.O. |
| Practice Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845264000 |
| Mailing Telephone | 4845264000 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OS018296 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OT015462 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
801 OSTRUM ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
| 1356942635 | Christopher Vila | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-11-04 |
| 1114527801 | Alexandria Lynn Strouse | Registered Nurse | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-30 |
| 1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1750989745 | Amber Nicole Saylor | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-13 |
| 1427656586 | Sarah Anne Blum | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1972101061 | Stephen Druckenmiller | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1780281014 | Ryan Anthony Mathiesen | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-09 |
| 1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
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| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834570 | Amaravani Mandalapu | Family Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2011-09-01 |
| 1033303409 | Maria Ghetu | Family Medicine | 2830 Easton Ave, Bethlehem, PA 18017-4204 | 2007-08-29 |
| 1982718193 | Donna L. Miller Do PC | Family Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-08-18 |
| 1336253517 | Donna L Miller | Family Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750949814 | Aria Health Physicain Services | Family Medicine | 240 Middletown Blvd Ste 101a, Langhorne, PA 19047-1832 | 2019-06-04 |
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1275076051 | Alan Baseman | Family Medicine | 111 Harrison Forge Court, Chalfont, PA 18914 | 2016-11-28 |
| 1902148620 | Ingeborg Gerber | Family Medicine | 1 Horsetrail Ln, Blue Bell, PA 19422-2466 | 2013-03-20 |
| 1649517236 | Lancaster General Medical Group | Family Medicine | 99 Masonic Dr, Suite 101, Elizabethtown, PA 17022-2547 | 2013-01-16 |
| 1235475831 | Creating Partnership LLC | Family Medicine | 40 Fox Hollow Rd, Downingtown, PA 19335-1890 | 2012-12-31 |
| 1669600953 | St. Luke's Physician Group, Inc. | Family Medicine | 5445 Lanark Rd Ste 200, Center Valley, PA 18034-8694 | 2009-06-25 |
| 1457529729 | Frey Medical Associates PC | Family Medicine | 524 Beltzhoover Avenue, Pittsburgh, PA 15210 | 2008-02-20 |
| 1235314428 | Amy Jo Diplacido | Family Medicine | 111 Sheridan Street, Renaissance Family Practice, Pittsburgh, PA 15209-2639 | 2008-01-07 |
| 1407056732 | Joseph P. Chollak, Jr., M.d. | Family Medicine | 950 Wyoming Ave, Forty Fort, PA 18704-3966 | 2007-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.