DR. STEPHANIE CAMPBELL (NPI# 1750732590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750732590 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE CAMPBELL |
| Credential | M.D. |
| Practice Address |
3901 Beaubien St Detroit MI 48201-2119 |
| Mailing Address |
2044 Hyde Park Rd Detroit MI 48207-4997 |
| Practice Telephone | 3137454513 |
| Mailing Telephone | 5868730624 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
4301117274 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125.069563 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Ne Glen Oak Ave, Peoria, IL 616370001 | 3096552274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808204 | Stephanie Campbell | Counselor | 13801 Walsingham Rd Unit 127, Largo, FL 33774-3237 | 2018-04-13 |
| 1386166296 | Stephanie Campbell | Physical Therapy Assistant | 3635 Calder Ave Ste 109, Beaumont, TX 77706-5044 | 2017-07-12 |
| 1134661077 | Stephanie Campbell | Counselor | 1412 Crain Hwy N Ste 1b, Glen Burnie, MD 21061-9306 | 2016-11-09 |
| 1225418882 | Stephanie Campbell | Occupational Therapist | 957 Sugarbush Trl, Lexington, KY 40509-7000 | 2015-06-08 |
| 1851662480 | Stephanie Campbell | Licensed Practical Nurse | 1068 Prospect Ave, Toledo, OH 43606-4834 | 2012-01-12 |
| 1588957864 | Stephanie Juliet Campbell | Dermatology | 375 Se Norton Ln Ste C, Mcminnville, OR 97128 | 2011-05-19 |
| 1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
| 1588279327 | Stephanie M Campbell | Counselor | 49 Kessel Ct, Madison, WI 53711-6200 | 2020-09-09 |
| 1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1336606300 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| Street Address |
3901 BEAUBIEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699712174 | Gerald L. Feldman | Medical Genetics | 3950 Beaubien St Fl 3, Children's Hospital of Michigan, Detroit, MI 48201-2120 | 2006-06-01 |
| 1912944919 | Erawati Vishwas Bawle | Medical Genetics | 3901 Beaubien Blvd, Children's Hospital of Michigan, Div of Genetics., Detroit, MI 48201-2061 | 2006-05-31 |
| 1518157510 | Robert L Conway | Medical Genetics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2007-07-26 |
| 1326250564 | Leigh Flore | Medical Genetics | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2007-05-03 |
| 1073680443 | Mary Helen Quigg | Medical Genetics | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-29 |
| 1982771358 | Jacquelyn R. Roberson | Medical Genetics | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-29 |
| 1861402497 | Vinod K Misra | Medical Genetics | 3950 Beaubien St, Detroit, MI 48201-2120 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721850 | Timothy Moss | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2012-05-08 |
| 1679869143 | Stacie Diane Adams | Medical Genetics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823 | 2011-06-23 |
| 1497960397 | Allison Meredith Jay | Medical Genetics | 19229 Mack Ave Ste 18, Grosse Pointe Woods, MI 48236-2857 | 2007-05-14 |
| 1134133762 | Andrea Amalfitano | Medical Genetics | 1600 W Grand River Ste 2, Okemos, MI 48864 | 2006-07-28 |
| 1427411131 | Linda Zhong Rossetti | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2016-03-30 |
| 1609256064 | Elizabeth Grace Ames | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-06-01 |
| 1932519253 | Kristen Nicole Lee | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-08 |
| 1194067470 | Amanda Barone Pritchard | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-03-25 |
| 1184934291 | Spectrum Health Hospitals | Medical Genetics | 25 Michigan St Ne, Suite 2000, Grand Rapids, MI 49503-2515 | 2010-10-08 |
| 1124353727 | Michigan Spine and Brain Institute PC | Medical Genetics | 5400 Mackinaw Rd, Suite 2300, Saginaw, MI 48604-9515 | 2009-10-15 |
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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.