STEPHANIE SHELTON CROSSEN (NPI# 1962727883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962727883 |
| Entity Type | Individual |
| Full Name | STEPHANIE SHELTON CROSSEN |
| Credential | M.D., M.P.H. |
| Practice Address |
2516 Stockton Blvd Ste 384 Sacramento CA 95817-2208 |
| Practice Telephone | 9167347098 |
| Practice Fax Number | 9167347070 |
| Mailing Telephone | 9167347098 |
| Mailing Fax Number | 9167347070 |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A 125418 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A125418 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2516 STOCKTON BLVD STE 384 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323715 | Mikla Nina Derlet | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics, Sacramento, CA 95817-2208 | 2005-08-12 |
| 1265051411 | Terence Jordan Ellis | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-04-08 |
| 1124656053 | Alisha Mathalikunnel | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-27 |
| 1881221901 | Anna Elizabeth Lepkowski | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-26 |
| 1265069595 | Sharon Malwane | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-25 |
| 1134756703 | Christina Lynn Callas | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-24 |
| 1134755135 | Howard Russell Sanders | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1851927867 | Lidia Park | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1871129882 | Erika Cherk | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| 1093341091 | Pritha Pavi Multani | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 |
|---|---|---|---|---|
| 1629079215 | Ulhas Mahabala Nadgir | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2005-08-03 |
| 1659508315 | Yvonne Lee | Pediatrics | 2516 Stockton Blvd, Uc Davis Medical Center - Pediatric Endocrinology, Sacramento, CA 95817-2208 | 2009-06-19 |
| 1720235146 | Niyati Skaria | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2008-08-27 |
| 1326203837 | Abigail Claire Gelb Fruzza | Pediatrics | 2516 Stockton Blvd, 3rd Floor, Sacramento, CA 95817-2208 | 2008-07-23 |
| 1285714378 | Floyd L Culler IIi | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2006-10-16 |
| 1932290855 | Bagher Mohamad Sheikholislam | Pediatrics | 5301 F Street, #209, Sacramento, CA 95819 | 2006-09-27 |
| 1447235155 | Nicole S Glaser | Pediatrics | 2516 Stockton Blvd, Ticon II, Sacramento, CA 95817-2208 | 2005-12-14 |
| 1023093499 | Dennis Michael Styne | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2005-12-08 |
| 1477546430 | Regents of The Univ of Ca | Pediatrics | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2005-08-25 |
| 1871586065 | Gnanagurdasan Prakasam | Pediatrics | 3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 | 2005-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.