DR. WILFRED BRYAN STAUFER (NPI# 1073535514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073535514 |
| Entity Type | Individual |
| Full Name | DR. WILFRED BRYAN STAUFER |
| Other Name | W BRYAN STAUFER |
| Credential | M.D. |
| Practice Address |
1903 W Michigan Ave Western Michigan University Kalamazoo MI 49008-5200 |
| Practice Telephone | 2693874267 |
| Practice Fax Number | 2693872944 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301030852 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 0C94735 | 01 | |
| MI | 103227279 | 05 |
| Street Address |
1903 W MICHIGAN AVE WESTERN MICHIGAN UNIVERSITY |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151871 | Eric L Lean | Family Medicine | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2005-11-15 |
| 1285285460 | Theresa Chacon | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-27 |
| 1144871880 | Tasuku Kurane | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2019-09-24 |
| 1942710306 | Kyle Donovan Schiller | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-10-11 |
| 1083150692 | Daniel Raymond Walen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2017-01-06 |
| 1649713819 | Western Michigan University Psychological Assessment and Treatment Ser | Behavioral Analyst | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-11-21 |
| 1275085714 | Kayla Brown | Rehabilitation Practitioner | 1903 W Michigan Ave, Eicher 420, Kalamazoo, MI 49008-5200 | 2016-11-01 |
| 1376093492 | Nicholas Hartwigsen | Specialist/Technologist | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2016-10-13 |
| 1174997563 | Jake Edward Kuipers | Specialist/Technologist | 1903 W Michigan Ave, Health and Human Performance, Kalamazoo, MI 49008-5200 | 2015-11-23 |
| 1801268446 | David Joseph Rhodes | Student in an Organized Health Care Education/Training Program | 1903 W Michigan Ave, Kalamazoo, MI 49008-5200 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700265816 | Elizabeth Haworth-hoeppner | Pediatrics | 601 John St # 55, Kalamazoo, MI 49007-5341 | 2015-05-21 |
| 1083873889 | Elizabeth Farner | Pediatrics | 2715 Taliesin Dr, Kalamazoo, MI 49008-2014 | 2008-06-06 |
| 1306953542 | Sunil John | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007 | 2006-08-24 |
| 1215946199 | Sandhya Sood-mcmillen | Pediatrics | 8088 Vineyard Pkwy, Kalamazoo, MI 49009-3892 | 2006-08-07 |
| 1003861311 | Nancy J Hilleren | Pediatrics | 714 N 9th St, Kalamazoo, MI 49009-6566 | 2006-05-24 |
| 1942250329 | Melissa Marie Houser | Pediatrics | 601 John St Ste M-352, Kalamazoo, MI 49007 | 2006-05-10 |
| 1508815689 | Jacob M Weintraub | Pediatrics | 151 S Rose, 5th Floor, Kalamazoo, MI 49007 | 2006-05-08 |
| 1033199674 | Randall L Dyk | Pediatrics | 5629 Stadium Dr, Kalamazoo, MI 49009-1952 | 2006-01-19 |
| 1083134795 | Cinthya G. Melendez Contreras | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2017-06-23 |
| 1457713901 | Alejandro Zamudio | Pediatrics | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2016-03-23 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.