STEPHANIE M MONTROSE (NPI# 1083062681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083062681 |
| Entity Type | Individual |
| Full Name | STEPHANIE M MONTROSE |
| Other Name | STEPHANIE M SIMON |
| Credential | DO |
| Practice Address |
5701 Bow Pointe Dr Ste 100 Clarkston MI 48346-3199 |
| Practice Telephone | 2486252621 |
| Practice Fax Number | 2486252622 |
| Mailing Telephone | 2486252621 |
| Mailing Fax Number | 2486252622 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101022435 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OSTEOPATHIC MEDICINE AND SURGERY LISCENSE | 5101022435 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1460 N Center Rd, Burton, MI 485091429 | 8107154300 |
| Street Address |
5701 BOW POINTE DR STE 100 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228917 | Carl Palffy | Internal Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2005-07-14 |
| 1417575929 | Jessie A Felix | Physician Assistant | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2020-07-10 |
| 1760975635 | Jaclyn Wolf | Nurse Practitioner | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2018-06-14 |
| 1457888588 | Grant Z Below | Family Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2017-05-19 |
| 1699202713 | Salomi Rami | Family Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2017-05-19 |
| 1396281234 | Thera T Radney | Nurse Practitioner | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346 | 2017-01-17 |
| 1235684143 | Michael Sean Muldowney | Physician Assistant | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2016-08-20 |
| 1528419199 | Anthony Joseph Agrusa | Family Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346 | 2016-06-24 |
| 1487001889 | Yvette Frownfelter | Internal Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2016-05-16 |
| 1407233182 | Tessa Young | Family Medicine | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346 | 2015-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568843142 | David William Mcnaughton | Family Medicine | 6770 Dixie Hwy Ste 303, Clarkston, MI 48346-2090 | 2015-06-09 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1780927251 | Mary S Crowell | Family Medicine | 1119 Highland Ave Ste 10, Clarkston, WA 99403-2836 | 2013-04-02 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1194040626 | Sathish Mannaickal Philip | Family Medicine | 6483 Citation Dr Ste B, Clarkston, MI 48346-2994 | 2010-03-26 |
| 1952504987 | Maria Livieratos Md Pllc | Family Medicine | 5799 S Main St, #1472, Clarkston, MI 48347-9907 | 2007-06-07 |
| 1598897530 | Dorothy A. O. White-williams | Family Medicine | 3700 Market St Ste C, Clarkston, GA 30021-2652 | 2007-03-12 |
| 1396881827 | Clarkston Medical Clinic PC | Family Medicine | 5790 S Main Street, Ste J, Clarkston, MI 48346 | 2007-01-30 |
| 1427155985 | Comprehensive Medical Care | Family Medicine | 5710 Bella Rose Blvd, Suite 200, Clarkston, MI 48348-4773 | 2006-09-19 |
| 1437178720 | Fabrizio Di Noto | Family Medicine | 6483 Citation Drive, Suite B, Clarkston, MI 48346 | 2006-07-18 |
| Find all providers in CLARKSTON | ||||
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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.