STEPHEN MICHAEL SPADAFORE


Address: 2951 Earhart Rd, Ann Arbor, MI 48105-9728
Phone: 7346475640

STEPHEN MICHAEL SPADAFORE (NPI# 1982138442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982138442
Entity Type Individual
Full Name STEPHEN MICHAEL SPADAFORE
Credential M.D.
Practice Address 2951 Earhart Rd
Ann Arbor
MI 48105-9728
Mailing Address 300 N Ingalls St Bldg Ni4e10a
Ann Arbor
MI 48109-0400
Practice Telephone 7346475640
Mailing Telephone 7342326776
Enumeration Date 2017-04-11
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QS0010X Family Medicine
Specialization: Sports Medicine
4351045878 MI Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program 4351045878 MI Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
13001 E 17th Pl, Aurora, CO 800452570 7205532696
799 N Hewitt Rd, Ypsilanti, MI 481971701 9892453968

Office Location

Street Address 2951 EARHART RD
City ANN ARBOR
State MI
Zip Code 48105-9728

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234062 Christopher Michael Kemp Student in an Organized Health Care Education/Training Program 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 2020-10-29
1326647728 Sevcan Turk Student in an Organized Health Care Education/Training Program 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 2020-10-19
1124645080 Emma Theis Schiestl Student in an Organized Health Care Education/Training Program 500 E Washington St Ste 11, Ann Arbor, MI 48104-2057 2020-06-26
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
1811513773 Jomy Varghese Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr # 1h247, Ann Arbor, MI 48109-5000 2020-06-17
1891318895 Michael James Ponkowski Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5332 2020-05-26
1467075580 Jonathan Edward Williams Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr. Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, MI 48109-5332 2020-05-22
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
1114540572 Dustin Nguyen Student in an Organized Health Care Education/Training Program 400 E. Eisenhower Pkwy, Building 2, Suite B, Ann Arbor, MI 48108-3302 2020-05-20
1821611203 Parth U Patel Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr Fl Center2, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5000 2020-05-20
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City ANN ARBOR
Zip Code 48105

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Dataset Information

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.

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