Stc Pediatrics LLC
NPI 1912516279ActiveOrganization· Pediatrics, Adolescent Medicine· Philadelphia, PA
Pediatrics, Adolescent Medicine in Philadelphia, Pennsylvania, registered in NPPES in July 2020. The authorized official on file is Gary Conner, Evp & Cfo.
Overview
| NPI | 1912516279 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2020 |
| Last updated in NPPES | Jul 23, 2020 |
| Certified by provider | Jul 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Adolescent Medicine Primary | 2080A0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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