MICHELLE M TEPPER (NPI# 1174995716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174995716 |
Entity Type | Individual |
Full Name | MICHELLE M TEPPER |
Credential | NP |
Practice Address |
100 Nichold Rd Emergency Medicine Level 4, Room 080 Stony Brook NY 11790-1020 |
Mailing Address |
28 Greenbriar Rd Wading River NY 11792-1020 |
Practice Telephone | 6314442478 |
Mailing Telephone | (631) 965-9568 |
Mailing Fax Number | 6319659568 |
Enumeration Date | 2015-10-22 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 307336 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
28 Greenbriar Rd, Wading River, NY 117921020 | (631) 965-9568 | 6319659568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306971684 | Michelle Tepper | Physician Assistant | 400 S 43rd St, Renton, WA 98055-5714 | 2007-02-23 |
Street Address |
100 NICHOLD RD EMERGENCY MEDICINE LEVEL 4, ROOM 080 |
City | STONY BROOK |
State | NY |
Zip Code | 11790-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
Find all providers in zip 11790 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225560469 | Ali Shah Khan | Emergency Medicine | Hsc Level 4 Room 080 Stony Brook Hospital, Stony Brook, NY 11794-0001 | 2017-03-28 |
1902255318 | Marshall Leonard | Emergency Medicine | 100 Nicolls Rd, Hsc, L4 Rm 50, Stony Brook, NY 11794-0001 | 2016-06-07 |
1174971899 | Ashley Mogul | Emergency Medicine | Hsc Level 4 Room 080, Stony Brook Medicine, Department of Emergency Medicine, Stony Brook, NY 11794-8350 | 2016-06-03 |
1053799049 | Sarah Jennifer Weiss | Emergency Medicine | Stony Brook Hospital Department of Emergency, Hsc Level 4 Room 080, Stony Brook, NY 11794-8350 | 2015-05-11 |
1871971077 | Bryan Patrick English | Emergency Medicine | Stony Brook University Hospital Hsc L-4, Rm 080, Stony Brook, NY 11794 | 2015-05-08 |
1689060600 | David Hirsch Gordon | Emergency Medicine | Stony Brook Medicine - Em 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794 | 2015-04-07 |
1740607068 | Hyunjoo Lee | Emergency Medicine | Stony Brook University Hospital Hsc L-4, Room 080, Stony Brook, NY 11794 | 2014-03-25 |
1861751489 | Jerome Wilkerson | Emergency Medicine | Stony Brook Medical Ctr Dept of Emergency, Hsc Level 4 Room 80, Stony Brook, NY 11794-8350 | 2012-05-16 |
1215227038 | Karalynn Otterness | Emergency Medicine | Stony Brook Medicine Department of Emergency, 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2011-04-13 |
1629395991 | Janine Claire Albert | Emergency Medicine | Stony Brook Medicine, Dept. of Emergency Medicine, Hsc Level 4, Room 080, Stony Brook, NY 11794-8350 | 2010-04-27 |
Find all providers in STONY BROOK |
City | STONY BROOK |
Zip Code | 11790 |
Please comment or provide details below to improve the information on MICHELLE M TEPPER.
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.