DR. STEPHANIE K KUKORA (NPI# 1396972857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396972857 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE K KUKORA |
| Credential | M.D. |
| Practice Address |
1500 E. Medical Center Dr. 8th Floor Cs Mott Childrens Hospital Ann Arbor MI 48109-4254 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347634109 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301094523 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4301094523 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301094523 | MI | Student, Health Care |
| Street Address |
1500 E. MEDICAL CENTER DR. 8TH FLOOR CS MOTT CHILDRENS HOSPITAL |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891845855 | Lynn Romaine Glazewski | Dietitian, Registered | 1500 E. Medical Center Dr., 2a237-uh, Box 0056, Ann Arbor, MI 48109-0056 | 2007-01-11 |
| 1295351773 | Chelsea Angel | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1366068835 | Jace Burton | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1225654791 | Andrew Benner | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1932725405 | Michelle Basilious | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1306462940 | Colleen Mismas-hooley | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1760008379 | Robert Rotondo | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1932725546 | Anders Quigg | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1679199202 | Julia Ocampo | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1265058812 | Tyler Kleaveland | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1528608411 | Carl Joseph Domigan | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-01-08 |
| 1740635333 | Katelyn Roberts | Pediatrics | 1500 E Medical Center Drive, 8-621 C&w Spc 4254, Ann Arbor, MI 48109-4254 | 2016-05-02 |
| 1932511524 | Parul Cham | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022721 | Stephanie A Cody | Pediatrics | 4625 2nd Ave Apt 109, Detroit, MI 48201-1238 | 2018-11-15 |
| 1427494889 | Danish Alamshahi Alamy Md | Pediatrics | 1 Hurley Plz # 2e, Flint, MI 48503-5902 | 2013-05-13 |
| 1073855482 | Jodi K. Garvin | Pediatrics | Helen De Vos Children's Hospital Nicu 3w, 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2013-03-24 |
| 1205052636 | Neonatology & Inpatient Pediatrics, Inc | Pediatrics | 1964 Westlake Ct, Bloomfield Hills, MI 48302-1286 | 2007-04-17 |
| 1912933771 | June C Murphy | Pediatrics | 1400 Genesys Pkwy, Grand Blanc, MI 48439-8068 | 2006-06-24 |
| 1922096718 | William D Clark | Pediatrics | 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089 | 2005-10-06 |
| 1477188555 | Msu Health Care Inc | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-03-09 |
| 1790334217 | Adila Mohammedfawzi Abulhamail | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-06 |
| 1558910216 | Mishref Mohammed Abdelhamid | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-05 |
| 1124555214 | Matthew Arnold Neonatology Plc | Pediatrics | 1105 6th St, Traverse City, MI 49684-2345 | 2017-05-19 |
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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.