DR. STEPHEN A STUPPLER (NPI# 1710976584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710976584 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN A STUPPLER |
| Credential | M.D. |
| Practice Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
| Practice Telephone | 5867714820 |
| Practice Fax Number | 5867716620 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867716620 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301033450 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HAP | B42949 | 01 |
| MI | CIGNA | 2669011 | 01 |
| MI | RAILROAD MEDICARE | 340006532 | 01 |
| MI | AETNA | 4054477 | 01 |
| Street Address |
20952 E 12 MILE RD SUITE 200 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295724060 | Scott I Sircus | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2005-10-14 |
| 1962976449 | Nathan A Gura | Physical Therapist | 20952 E 12 Mile Rd, Saint Clair Shores, MI 48081-3200 | 2019-01-17 |
| 1083104756 | Natalie Sutherland | Physical Therapist | 20952 E 12 Mile Rd, Saint Clair Shores, MI 48081-3200 | 2018-05-17 |
| 1457852287 | Kristin A Smith | Physical Therapist | 20952 E 12 Mile Rd, Saint Clair Shores, MI 48081-3200 | 2018-02-27 |
| 1235638370 | Katie Herman | Physical Therapist | 20952 E 12 Mile Rd, Saint Clair Shores, MI 48081-3200 | 2018-02-05 |
| 1376094177 | Danielle Marie Downs | Nurse Practitioner | 20952 E 12 Mile Rd, Suite 100, Saint Clair Shores, MI 48081-3200 | 2016-10-18 |
| 1487912812 | Jennifer M Buszka | Nurse Practitioner | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2012-04-23 |
| 1457592990 | Zachary Jonathan Liss | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2009-03-12 |
| 1629223821 | Jennifer Jo Starrs | Nurse Practitioner | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2008-12-01 |
| 1184812992 | Scott Wilkinson | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2007-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265498117 | Dinesh John Telang | Urology | 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 | 2006-04-20 |
| 1295724060 | Scott I Sircus | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2005-10-14 |
| 1053674101 | Robert Lewis Elgin | Urology | 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 | 2012-06-22 |
| 1457592990 | Zachary Jonathan Liss | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2009-03-12 |
| 1184812992 | Scott Wilkinson | Urology | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.