Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathaniel Ian Estock

Individual provider Physician Assistant · NPI 1215829932

Nathaniel Ian Estock is a Physician Assistant in Fountain Hill, Pennsylvania. Qualified in 2025, 1 year ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

701 Ostrum St Ste 602
Fountain Hill, PA 18015-1184
Phone: (484) 547-3645
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067013 (PA)

Record details

NPI number1215829932
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025
Mailing address1769 Falcon Dr, Bethlehem, PA 18017-2770

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

Other providers in Fountain Hill