Provider Demographics
NPI:1730155979
Name:FINK, STACEY (MD)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:FINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 GOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-544-3700
Mailing Address - Fax:
Practice Address - Street 1:690 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067360L2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2165155000OtherINDEPENDENCE BLUE CROSS
PA3643286OtherAETNA - HMO
PA7631605OtherAETNA - NON HMO
PA000680165OtherHIGHMARK
PA101044737 0001Medicaid
PA000000156450OtherUNISON
PA2165155000OtherAMERIHEALTH 65 / IBC
PA50056074OtherKEYSTONE HEALTH PLAN CENTRAL
PA89337OtherGEISINGER
PA20036117OtherAMERIHEALTH MERCY
PA244555OtherHEALTH AMERICA
PA30021659OtherKEYSTONE MERCY
PA50056074OtherCAPITAL BLUE CROSS
PA1538936OtherGATEWAY
PABF1304891OtherDEA