JOHN STEPHENSON (NPI# 1841213428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841213428 |
| Entity Type | Individual |
| Full Name | JOHN STEPHENSON |
| Credential | M.C. |
| Practice Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Mailing Address |
710 S State St Saint Ignace MI 49781-1724 |
| Practice Telephone | 9066430402 |
| Practice Fax Number | 9066430463 |
| Mailing Telephone | 9066437168 |
| Mailing Fax Number | 9066430463 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301028300 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639263833 | John Craig Stephenson | Dentist | 2901 Broadway, North Bend, OR 97459 | 2006-10-03 |
| 1598775736 | John Mckethan Stephenson | Dentist | 402 Dicey Ford Rd, Ste E, Camden, SC 29020 | 2006-08-09 |
| 1699942086 | John Edward Stephenson | Dentist | 5642 S Eastern Ave, #f, Las Vegas, NV 89119-2310 | 2008-05-14 |
| 1528269560 | John Michael Stephenson | Orthopaedic Surgery | 4301 W Markham St, Slot #531, Little Rock, AR 72205-7101 | 2007-05-29 |
| 1336361138 | John Lynn Stephenson II | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2007-05-02 |
| 1952446841 | John Glynn Stephenson | Dentist | 405 North Main Street, Burkesville, KY 42717 | 2007-02-20 |
| 1366509929 | John T Stephenson | Clinical Neuropsychologist | 24520 Hawthorne Blvd, Suite 220, Torrance, CA 90505-6800 | 2007-01-02 |
| 1528126158 | John D Stephenson | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2006-12-05 |
| 1700980216 | John Robert Stephenson | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-prof Billing, Shreveport, LA 71101-4343 | 2006-09-13 |
| 1629087341 | John H Stephenson | Anesthesiology | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1701 | 2006-08-05 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip Code | 49781-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866415 | Charlene J Sweeney | Psychiatry & Neurology | 1140 N State St, Saint Ignace, MI 49781-1048 | 2006-01-19 |
| 1144846163 | Nicole Kushner | Student in an Organized Health Care Education/Training Program | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-25 |
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1750937546 | Thomas Robert Bahra | Pharmacist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-08-16 |
| 1275092561 | Brandon Vincent | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-03-15 |
| 1871074724 | Rebeckah Zaragoza | Social Worker | 1140 N State St, Saint Ignace, MI 49781 | 2018-08-28 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1447757208 | Christina Burlak | Social Worker | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-09 |
| 1104322270 | James John Mattson | Physical Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-05 |
| 1356845663 | Stefanie Mattson | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207658 | Stephanie Vaughn | Occupational Therapist | 783 W Lant Rd, Saint Ignace, MI 49781 | 2018-03-08 |
| 1124548292 | Straits Area Pharamcy Inc | Pharmacy | 1140 North State Street Suite 1500, Saint Ignace, MI 49781 | 2017-06-21 |
| 1265712442 | Elizabeth Ann Fischer | Nurse's Aide | W1037 Hwy 2, Apt 1, St. Ignace, MI 49781 | 2011-08-19 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1952569378 | Kathryn E Mizzi | Social Worker | 720 W Us-2 Suite D, Saint Ignace, MI 49781 | 2008-06-02 |
| 1174542781 | Edward F Smith | Specialist | 1140 N. State Street, St. Ignace, MI 49781 | 2006-07-18 |
| 1548295959 | David James Thurston | Chiropractor | 135 Bertrand Street, St Ignace, MI 49781 | 2006-07-12 |
| 1326026501 | Susan Herderich Strich | Internal Medicine | 1140 North State Street, Saint Ignace, MI 49781 | 2006-01-06 |
| 1790327518 | Lucas James Thurston | Chiropractor | 135 Bertrand Street, Saint Ignace, MI 49781 | 2019-10-14 |
| 1619419033 | Deborah Narrin | Counselor | 799 Hombach St, Saint Ignace, MI 49781 | 2016-11-16 |
| Find all providers in zip 49781 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
| 1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
| 1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| 1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
| 1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
| 1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
| 1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNACE |
| Zip Code | 49781 |
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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.