DR. STEVEN REPPUHN (NPI# 1033265756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033265756 |
| Entity Type | Individual |
| Full Name | DR. STEVEN REPPUHN |
| Credential | PH.D. |
| Practice Address |
2810 Charlevoix Ave Ste 102 Arrowhead Commons Petoskey MI 49770-8421 |
| Mailing Address |
03198 Reycraft Boyne City MI 49712 |
| Practice Telephone | 2313476542 |
| Practice Fax Number | 2313480800 |
| Mailing Telephone | 2313470456 |
| Mailing Fax Number | 2313480800 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006233 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH ID | 11286845 | 01 |
| MI | MAGELLAN | 037196 | 01 |
| MI | BCBS ID | 680B44503 | 01 |
| Street Address |
2810 CHARLEVOIX AVE STE 102 ARROWHEAD COMMONS |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821327347 | Larry Everett Warner | Psychologist | 2236 E Mitchell Rd, Petoskey, MI 49770-9604 | 2009-12-11 |
| 1770735821 | James William Marshall IIi | Psychologist | 704 Petoskey St, Petoskey, MI 49770-2793 | 2008-10-21 |
| 1215118005 | Maria Teresa Daunter | Psychologist | 2040 Intertown Rd, Petoskey, MI 49770-9746 | 2007-11-20 |
| 1568659126 | Rebecca Roth | Psychologist | 560 W Mitchell St Ste 208, Petoskey, MI 49770-2278 | 2007-09-27 |
| 1477615987 | Henrike Beate Kroemer | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2006-12-14 |
| 1851460190 | Megan Currell Retherford | Psychologist | 325 E Lake St Ste 22, Petoskey, MI 49770 | 2006-11-08 |
| 1447865647 | Patricia A Tefo | Psychologist | 321 E Lake St, Petoskey, MI 49770-2478 | 2020-09-14 |
| 1023429438 | Family Psychological Services, Pllc | Psychologist | 321 E Lake St, Suite 7, Petoskey, MI 49770-2478 | 2014-05-20 |
| 1801195102 | Brian B Lehky Phd PC | Psychologist | 2202 Mitchell Park Dr, Unit 5, Petoskey, MI 49770-8897 | 2011-03-25 |
| 1447428263 | Lauren Elizabeth Alessi | Psychologist | 1414 Kilborn Dr, Petoskey, MI 49770-9258 | 2008-02-14 |
| Find all providers in PETOSKEY | ||||
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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.