STEPHANIE ROSE MENON (NPI# 1235440348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235440348 |
| Entity Type | Individual |
| Full Name | STEPHANIE ROSE MENON |
| Other Name | STEPHANIE ROSE VITALE |
| Credential | MD |
| Practice Address |
4200 Whitehall Dr Suite 330 Ann Arbor MI 48105-9694 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344340477 |
| Practice Fax Number | 7344346240 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301104628 | MI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 125.057882 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4200 WHITEHALL DR SUITE 330 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309734 | Barbara L Burkardt | Midwife | 4200 Whitehall Dr, Ste 330, Ann Arbor, MI 48104-1142 | 2005-07-14 |
| 1114381357 | Iha Health Services Corporation | Pediatrics | 4200 Whitehall Dr, Suite 240, Ann Arbor, MI 48105-9694 | 2016-04-13 |
| 1184093064 | Iha Health Services Corporation | Lactation Consultant, Non-RN | 4200 Whitehall Dr, Suite 230, Ann Arbor, MI 48105-9694 | 2015-09-21 |
| 1659752301 | Cadie Godfrey | Nurse Practitioner | 4200 Whitehall Dr, Suite 150, Ann Arbor, MI 48105-9694 | 2015-06-17 |
| 1942604335 | Galen Engel | Registered Nurse | 4200 Whitehall Dr, Ste 150, Ann Arbor, MI 48105-9694 | 2014-10-15 |
| 1033550926 | Stephanie Catherine Gillman | Physician Assistant | 4200 Whitehall Dr, Suite 130, Ann Arbor, MI 48105-9694 | 2013-07-09 |
| 1831536895 | Yiding Cai | Internal Medicine | 4200 Whitehall Dr, Suite 130, Ann Arbor, MI 48105-9694 | 2013-05-31 |
| 1992071302 | Jeremy Joseph Taliercio | Emergency Medicine | 4200 Whitehall Dr, Suite 150, Ann Arbor, MI 48105-9694 | 2012-03-29 |
| 1235405820 | Shivani Patel | Dermatology | 4200 Whitehall Dr, Suite 250, Ann Arbor, MI 48105-9694 | 2012-03-28 |
| 1861773301 | Sarah Ball Hakala | Advanced Practice Midwife | 4200 Whitehall Dr, Suite 350, Ann Arbor, MI 48105-9694 | 2011-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604616 | Ann Marie Lozier | Obstetrics & Gynecology | 1540 E Hospital Dr Fl 9, Ann Arbor, MI 48109-4000 | 2018-06-26 |
| 1093024192 | Lois Berman | Obstetrics & Gynecology | 3074 Cross Creek Ct, Ann Arbor, MI 48108-9700 | 2010-10-07 |
| 1588980189 | Rajal C Patel | Obstetrics & Gynecology | 4900a Jackson Road, Ann Arbor, MI 48103-1876 | 2010-04-08 |
| 1437321809 | Laura Denise Castleman | Obstetrics & Gynecology | 3100 Professional Drive, Ann Arbor, MI 48104 | 2008-03-26 |
| 1285838094 | Complete Women's Care | Obstetrics & Gynecology | 2900 Golfside Drive Suite 3, Ann Arbor, MI 48108-1410 | 2007-06-14 |
| 1235286840 | Iha Health Services Corporation | Obstetrics & Gynecology | 4200 Whitehall Dr Ste 300, Ann Arbor, MI 48105-9694 | 2007-01-04 |
| 1679639058 | Mary Zatkowski Johnson | Obstetrics & Gynecology | 2594 E Delhi Rd, Ann Arbor, MI 48103-9006 | 2006-12-29 |
| 1639262843 | Steven E Domino | Obstetrics & Gynecology | 475 Market Place, Bldg One, Ann Arbor, MI 48108-1649 | 2006-10-02 |
| 1225041510 | Senait Fisseha | Obstetrics & Gynecology | 475 Market Pl Bldg 1, Ann Arbor, MI 48108-1649 | 2006-08-15 |
| 1073552048 | Adam M Ziff | Obstetrics & Gynecology | 4350 Jackson Rd Ste 300, Ann Arbor, MI 48103-1889 | 2006-06-05 |
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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.