STEPHANIE CARLSON-BALLONE (NPI# 1790119071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119071 |
| Entity Type | Individual |
| Full Name | STEPHANIE CARLSON-BALLONE |
| Credential | OTR/L |
| Practice Address |
580 W College Ave Marquette MI 49855 |
| Mailing Address |
555 County Road Hq Marquette MI 49855 |
| Practice Telephone | 9062289440 |
| Practice Fax Number | 9062253800 |
| Mailing Telephone | 9062255570 |
| Mailing Fax Number | 9062255572 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
5201007589 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1912443839 | Michael Charles Rondeau | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2017-01-17 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588097281 | Aaron Lautenschlager | Occupational Therapist | 580 W College Ave, Marquette, MI 49855 | 2013-08-16 |
| 1265865000 | Rachelle Connon | Occupational Therapist | 580 W College Ave, Marquette, MI 49855 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166692 | Aaron Wienczak | Occupational Therapist | 36622 Five Mile Rd Ste 215, Livonia, MI 48154-1900 | 2019-04-18 |
| 1407357155 | Mary Whitehouse Barber | Occupational Therapist | 2098 S Main St Rm 1135, Ann Arbor, MI 48103-5827 | 2018-02-27 |
| 1437650611 | Jeanne Marie Riggs | Occupational Therapist | Domino's Farms, Lobby A Plastic Surg Ste Rm 1108, 24 Frank Lloyd Wright Dr., Spc 5735, Ann Arbor, MI 48106-5735 | 2018-02-23 |
| 1598275067 | Meredith Aja | Occupational Therapist | 1282 Kirts Blvd Ste 102, Troy, MI 48084-4888 | 2017-10-10 |
| 1912459470 | Erin K Nowak | Occupational Therapist | 501 S Health Pkwy, Three Rivers, MI 49093-8350 | 2016-11-01 |
| 1720532443 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 5160 Gotfredson Rd, Plymouth, MI 48170-5019 | 2016-08-10 |
| 1154799666 | Mary Lynne Kleis | Occupational Therapist | 3739 Baldwin St, Hudsonville, MI 49426-9733 | 2015-09-14 |
| 1326387515 | Stephanie Tamminga | Occupational Therapist | 245 Cherry St Se Ste 302, Grand Rapids, MI 49503-4607 | 2013-02-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1568628790 | Great Lakes Hand Therapy PC | Occupational Therapist | 3600 Capital Ave Sw Ste 103, Battle Creek, MI 49015 | 2008-08-07 |
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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.