# JOHN WILLIAM STEFOVIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124193743
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD-034546-E | PA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 10/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014134440008 | — | PA |
| 01 | — | 010001700 | BLACK LUNG | PA |
| 01 | — | 0171850 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 03267500 | CAPITAL BLUE CROSS | PA |
| 01 | — | 03267500 | KEYSTONE SENIOR BLUE | — |
| 01 | — | 080122224 | RAILROAD MEDICARE | PA |