STEPHANIE CATHERINE GILLMAN (NPI# 1033550926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033550926 |
| Entity Type | Individual |
| Full Name | STEPHANIE CATHERINE GILLMAN |
| Other Name | STEPHANIE CATHERINE PRICE |
| Credential | PA-C |
| Practice Address |
4200 Whitehall Dr Suite 130 Ann Arbor MI 48105-9694 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349950425 |
| Practice Fax Number | 7349950303 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008137 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C05126 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 926580505 | 05 | |
| MD | 926580502 | 05 | |
| MD | 926580501 | 05 |
| Street Address |
4200 WHITEHALL DR SUITE 130 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309734 | Barbara L Burkardt | Midwife | 4200 Whitehall Dr, Ste 330, Ann Arbor, MI 48104-1142 | 2005-07-14 |
| 1114381357 | Iha Health Services Corporation | Pediatrics | 4200 Whitehall Dr, Suite 240, Ann Arbor, MI 48105-9694 | 2016-04-13 |
| 1184093064 | Iha Health Services Corporation | Lactation Consultant, Non-RN | 4200 Whitehall Dr, Suite 230, Ann Arbor, MI 48105-9694 | 2015-09-21 |
| 1659752301 | Cadie Godfrey | Nurse Practitioner | 4200 Whitehall Dr, Suite 150, Ann Arbor, MI 48105-9694 | 2015-06-17 |
| 1942604335 | Galen Engel | Registered Nurse | 4200 Whitehall Dr, Ste 150, Ann Arbor, MI 48105-9694 | 2014-10-15 |
| 1831536895 | Yiding Cai | Internal Medicine | 4200 Whitehall Dr, Suite 130, Ann Arbor, MI 48105-9694 | 2013-05-31 |
| 1992071302 | Jeremy Joseph Taliercio | Emergency Medicine | 4200 Whitehall Dr, Suite 150, Ann Arbor, MI 48105-9694 | 2012-03-29 |
| 1235405820 | Shivani Patel | Dermatology | 4200 Whitehall Dr, Suite 250, Ann Arbor, MI 48105-9694 | 2012-03-28 |
| 1861773301 | Sarah Ball Hakala | Advanced Practice Midwife | 4200 Whitehall Dr, Suite 350, Ann Arbor, MI 48105-9694 | 2011-08-29 |
| 1932495827 | Julie Ellyn Mervak | Dermatology | 4200 Whitehall Dr, Ste 250, Ann Arbor, MI 48105-9694 | 2011-06-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483080 | Bernice Li | Physician Assistant | 2299 Hickory Point Dr, Ann Arbor, MI 48105-9291 | 2020-09-29 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1992278444 | Torsten B Berg | Physician Assistant | 2906 Chesterfield St, Ann Arbor, MI 48104-6512 | 2019-01-08 |
| 1548658644 | Ashley Lopresto | Physician Assistant | 2000 Green Rd, Ste 300, Emergency Physicians Medical Group, Ann Arbor, MI 48105 | 2014-12-26 |
| 1255565685 | Erin Elizabeth Van Tiem | Physician Assistant | 706 W Huron St Ste 201, Ann Arbor, MI 48103 | 2009-05-13 |
| 1508943663 | Jason J Grove | Physician Assistant | 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2006-11-01 |
| 1205852902 | Kevin C Eves | Physician Assistant | 2098 South Main Street, Ann Arbor, MI 48103 | 2006-07-14 |
| 1336199165 | Suzanne Beth Eiss | Physician Assistant | 2098 South Main St, Ann Arbor, MI 48103-5827 | 2006-05-11 |
| 1811946379 | Christianne Elizabeth Marshall | Physician Assistant | 1500 East Medical Center Dr, 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 | 2006-05-10 |
| 1699734939 | Richard J Sartori | Physician Assistant | 706 W. Huron St, Ann Arbor, MI 48103 | 2006-03-23 |
| Find all providers in ANN ARBOR | ||||
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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.