DR. STEPHEN M PREFONTAINE (NPI# 1114953304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114953304 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M PREFONTAINE |
| Credential | D.O. |
| Practice Address |
4868-2 Lake Michigan Dr Allendale MI 49401-7415 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163912800 |
| Practice Fax Number | 6163917709 |
| Mailing Telephone | 6163912800 |
| Mailing Fax Number | 6163917709 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101011668 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4868-2 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043613 | John Thore Duhn | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2006-05-23 |
| 1154761237 | Katherine Ann Van Drunen | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2013-07-03 |
| 1538442736 | Katherine Suzanne Martin | Physician Assistant | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2011-09-23 |
| 1992086268 | Stephanie Huizinga | Social Worker | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2011-08-31 |
| 1609186642 | Leigh Anna Miller | Social Worker | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2010-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| 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 |
|---|---|---|---|---|
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1164529491 | Allendale County Hospital Board | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-09-20 |
| 1821043613 | John Thore Duhn | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2006-05-23 |
| 1386633675 | Allendale Family Practice | Family Medicine | 11315 Edgewater Dr, Allendale, MI 49401-9396 | 2005-10-19 |
| 1649274408 | Michelle Gianturco | Family Medicine | 4868 Lake Michigan Dr, # 2, Allendale, MI 49401-8434 | 2005-06-09 |
| 1326695867 | Rachel Anne Burgess | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2019-08-20 |
| 1225524275 | Ohio Valley Physicians Inc | Family Medicine | 571 Memorial Ave N, Allendale, SC 29810-2713 | 2018-07-02 |
| 1154761237 | Katherine Ann Van Drunen | Family Medicine | 4868-2 Lake Michigan Dr, Allendale, MI 49401-7415 | 2013-07-03 |
| 1336450907 | Spectrum Health Primary Care Partners | Family Medicine | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2010-06-29 |
| 1215013024 | Thomas Baker Warren | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-10-27 |
| Find all providers in ALLENDALE | ||||
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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.