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STEPHANIE JUNE BORTNER PA NPI 1649581331


NPI Information

NPI: 1649581331
Provider Name: STEPHANIE JUNE BORTNER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
900 23RD ST NW
WASHINGTON, DC
ZIP 20037
Phone: (202) 715-4000
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Stephanie June Bortner, PA is a surgical physician assistant in Washington, DC. Stephanie June Bortner, PA NPI is 1649581331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 23RD ST NW
WASHINGTON, DC
ZIP 20037-342
Phone: (202) 715-4000

The NPI 1649581331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 12/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant0010-02382NORTH CAROLINANo
2363AM0700XPhysician AssistantMedicalPA9016093FLORIDANo
3363AM0700XPhysician AssistantMedical006061GEORGIANo
4363AS0400XPhysician AssistantSurgicalPA030935DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10010-02382OTHERNORTH CAROLINANC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.