DR. STEPHANIE JILL DONOVAN (NPI# 1992095467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992095467 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE JILL DONOVAN |
| Credential | DPM |
| Practice Address |
990 W Ann Arbor Trl Suite 200 Plymouth MI 48170-6204 |
| Practice Telephone | 7344140874 |
| Practice Fax Number | 7344140875 |
| Mailing Telephone | 7344140874 |
| Mailing Fax Number | 7344140875 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002407 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287516 | Stephanie R Donovan | Nurse Practitioner | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, SC 29464-3082 | 2019-07-16 |
| 1710422027 | Stephanie Donovan | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2016-12-21 |
| 1396102182 | Stephanie Donovan | Behavioral Analyst | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2016-01-25 |
| 1154692283 | Stephanie Donovan | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-01-20 |
| 1780736017 | Stephanie Donovan | Occupational Therapist | 598 Indian Trail Rd S, Suite 141, Indian Trail, NC 28079-8689 | 2007-01-17 |
| Street Address |
990 W ANN ARBOR TRL SUITE 200 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075577 | Christine Stankovic | Pediatrics | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2005-07-07 |
| 1437608965 | Tara Valentine | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2016-09-26 |
| 1780027805 | Craig Steven Gertner | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2013-04-08 |
| 1922345107 | Praveen Modi, M.d., P.C. | Internal Medicine | 990 W Ann Arbor Trl, Suite 102, Plymouth, MI 48170-6204 | 2013-01-09 |
| 1285998377 | Jeffrey Vanhooser | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2012-07-03 |
| 1437410263 | Matthew A Kohlenberg | Internal Medicine | 990 W Ann Arbor Trl, Suite 208, Plymouth, MI 48170-6204 | 2012-06-07 |
| 1730455569 | Ashley Ann Schmehl | Internal Medicine | 990 W Ann Arbor Trl, Ste 208, Plymouth, MI 48170-6204 | 2012-03-27 |
| 1912206368 | Lisa Odaibo | Pediatrics | 990 W Ann Arbor Trl, Ste 210, Plymouth, MI 48170-6204 | 2011-03-24 |
| 1447566559 | Sondra Raubacher | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2010-08-26 |
| 1457595357 | Nicole Dillon | Nurse Practitioner | 990 W Ann Arbor Trl, Ste 210, Plymouth, MI 48170-6204 | 2009-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003309444 | Plymouth Podiatry PC | Podiatrist | 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 | 2018-06-11 |
| 1952625758 | James Duncan Dpm Pllc | Podiatrist | 13953 Orchard Ct, Plymouth, MI 48170-5291 | 2010-03-23 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1245376987 | Ronald Phillip Adelman | Podiatrist | 990 W Ann Arbor Trl Ste 200, Plymouth, MI 48170-1686 | 2007-01-29 |
| 1144333667 | John William Cheesebro | Podiatrist | 2805 Campus Dr Ste 225, Plymouth, MN 55441-2678 | 2006-08-17 |
| 1679521835 | Matthew L Burrell | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2006-05-04 |
| 1174518393 | Mary Ellen Schwartz | Podiatrist | 116 E Washington St, Plymouth, IN 46563-1744 | 2005-09-14 |
| 1700882305 | Thomas Joseph Hardiman | Podiatrist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2005-06-28 |
| 1184626426 | Peter Michael Kaminski | Podiatrist | 75 Washington Ave, Plymouth, PA 18651-1744 | 2005-06-01 |
| 1093947111 | Lake Podiatry, P.a. | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2009-08-24 |
| Find all providers in PLYMOUTH | ||||
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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.