Basic Information
| Provider Information | |||||||||
| NPI: | 1952650285 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FERKER | ||||||||
| FirstName: | STELLA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 206 E BROWN ST | ||||||||
| Address2: | |||||||||
| City: | EAST STROUDSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 183013006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704205331 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2012 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD457771 | PA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 25-1645055 | 01 | PA | HUMANA/CHOICE CARE | OTHER | 30270934 | 01 | PA | AMERIHEALTH CARITAS | OTHER | 1952650285 | 01 | PA | GHP | OTHER | 1952650285 | 01 | PA | GHP FAMILY | OTHER | 4374829 | 01 | PA | AETNA | OTHER | 103132113-0001 | 05 | PA | MEDICAID | 1952650285 | 01 | PA | UHC COMMERCIAL & MEDICARE | OTHER | 50147798 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 1721645 | 01 | PA | CIGNA | OTHER | 003427808 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 1219414 | 01 | PA | GATEWAY | OTHER | 1952650285 | 01 | PA | INDEPENDENCE BLUE CROSS/AMERIHEALTH | OTHER | 25-1645055 | 01 | PA | AETNA BETTER HEALTH | OTHER |