DR. MARK JOSEPH STEPHAN (NPI# 1225087596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225087596 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH STEPHAN |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Center 9040 Reid St., Attn: Mchj-qcr Tacoma WA 98431-0001 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539682252 |
| Mailing Fax Number | 2539683278 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00016144 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689730723 | Mark Douglas Stephan | Registered Nurse | 3563 Edler St, Hilliard, OH 43026-1812 | 2006-12-30 |
| 1578550794 | Mark T. Stephan | Radiology | 2311 Kaliste Saloom Rd, Lafayette, LA 70508-6807 | 2005-10-03 |
| 1235739467 | Mark Michael Stephan | Pharmacist | 2030 Fruitville Pike, Lancaster, PA 17601-3998 | 2020-10-27 |
| 1699886614 | Mark Patrick Stephan | Physician Assistant | 55 Spindrift Dr, Williamsville, NY 14221-7800 | 2006-08-31 |
| 1871553693 | Mark R Stephan | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2006-03-24 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 REID ST., ATTN: MCHJ-QCR |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577322 | Bernice Joann Wilder | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98438-1336 | 2005-09-09 |
| 1013569466 | Bradley Eugene Foster | Licensed Practical Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mcln-clq-c, Tacoma, WA 98431-1100 | 2019-07-15 |
| 1245702794 | Theresa Lynn Abrahamson | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-12-21 |
| 1437629953 | Laura Peratino | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-11-27 |
| 1568937837 | Gregory Gogue Tainatongo | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1689157935 | Barbara Hewitt | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-09-12 |
| 1508350539 | Keaton Allyn Johnson | Physician Assistant | Madigan Army Medical Center, Tacoma, WA 98431-5318 | 2018-06-22 |
| 1073006235 | Jonathan Daniel Clemons | Physician Assistant | Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2018-06-12 |
| 1457841397 | Tiffany Lefebre | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-05-16 |
| 1619473683 | Kristin Michelle Lacer | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431 | 2018-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1003357427 | Alexander L Bowers | Pediatrics | 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-1000 | 2017-03-18 |
| 1063873933 | Paul Patterson | Pediatrics | 9040 Jackson Ave Department of Pediatrics Mamc, Tacoma, WA 98431-0001 | 2016-03-18 |
| 1730560731 | Danielle Ashley Coleman | Pediatrics | 316 Martin Luther King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2015-06-15 |
| 1881013860 | Amanda P Williams | Pediatrics | 317 Martin L King Jr Way, Tacoma, WA 98405-4234 | 2014-04-07 |
| 1174966477 | Matthew Timlin | Pediatrics | 9040 Jackson Ave Pediatric Critical Care Dept, Tacoma, WA 98431-1100 | 2013-04-17 |
| 1699006320 | Charlotte Schnellbacher | Pediatrics | Madigan Army Medical Center Pediatric Clinic, Bldg 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2010-01-20 |
| 1205096260 | Susan M Mosier | Pediatrics | 9040 Jackson Ave Department of Pediatrics, Tacoma, WA 98431 | 2008-06-12 |
| 1609061605 | Alan Heckler | Pediatrics | Madigan Healthcare System Dept of Pediatrics, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-09-12 |
| 1023216983 | Kathryn Taylor Gattone | Pediatrics | Fitzsimmons Dr Bldg 9040, Attn: Mchj-p, Tacoma, WA 98431-0001 | 2007-07-03 |
| Find all providers in TACOMA | ||||
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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.