DR. DANIEL A STEPHENS (NPI# 1831127463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831127463 |
| Entity Type | Individual |
| Full Name | DR. DANIEL A STEPHENS |
| Credential | MD |
| Practice Address |
3950 Hollywood Rd Suite 100 Saint Joseph MI 49085-9151 |
| Mailing Address |
3950 Hollywood Road Suite 100 St Joseph MI 49085 |
| Practice Telephone | 2694290900 |
| Practice Fax Number | 2694080996 |
| Mailing Telephone | 2694290900 |
| Mailing Fax Number | 2694080996 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301404254 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS PIN | 0201109862 | 01 |
| MI | GROUP NPI | 1538397120 | 01 |
| MI | GROUP TAX ID | 27-0381199 | 01 |
| MI | 1831127463 | 05 | |
| MI | GROUP MEDICARE PTAN | MI2051 | 01 |
| MI | DEA | BS1147835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053720193 | Daniel Thomas Stephens | Counselor | 5411 Ne 107th Ave Ste 100, Vancouver, WA 98662-6347 | 2014-08-02 |
| 1669799516 | Daniel Hayden Stephens | Pediatrics | 4610 Center Blvd Apt 2213, Long Island City, NY 11109-5884 | 2010-04-30 |
| 1619990140 | Daniel L Stephens | Dentist | 412 S Schrader St, Havana, IL 62644-1356 | 2006-07-25 |
| 1083681894 | Daniel Stephens | Specialist | 93 Shadow Xing, Collinsville, IL 62234-1495 | 2006-03-01 |
| 1144464223 | Daniel Jordan Stephens | Surgery | 200 1st Street Sw, Rochester, MN 55905-0001 | 2009-04-21 |
| 1578519641 | Daniel Joshua Stephens | Surgery | 1901 1st Ave, Department of Surgery, New York, NY 10029-7404 | 2006-05-26 |
| 1053396192 | Daniel Stephens | Physician Assistant | 2050 Route 22, Brewster, NY 10509-5948 | 2005-12-13 |
| Street Address |
3950 HOLLYWOOD RD SUITE 100 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678021 | Lowell D Smith | Internal Medicine | 3950 Hollywood Rd, Ste 240, Saint Joseph, MI 49085-9151 | 2005-06-13 |
| 1144799982 | Philip Jasheway | Physical Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-23 |
| 1235608274 | Sharon Elizabeth Roberts | Occupational Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-20 |
| 1588113666 | Jessica R Schulte | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-09-29 |
| 1467804567 | Debora Tenter | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-07-13 |
| 1649622796 | Emily Schlitz Fix | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-07-12 |
| 1336599901 | Kaitlyn Jackson | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-06-15 |
| 1558725903 | Adam Thiesse | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-04-12 |
| 1336514587 | Laurel Joy Yoder | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-12-14 |
| 1487021481 | Kathryn Jean Kern | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558651547 | Gillian Leray Jones | Surgery | 901 Heartland Rd Ste 1810, Saint Joseph, MO 64506-6201 | 2011-04-12 |
| 1790949097 | Marcus Kyle Free | Surgery | 2143 Derfla Dr, Saint Joseph, MI 49085-9661 | 2008-07-16 |
| 1639103583 | Scott Alan Wade | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2006-07-10 |
| 1639102460 | Edward H Andres IIi | Surgery | 802 N. Riverside Rd., Suite G 50, Saint Joseph, MO 64507-2553 | 2006-07-07 |
| 1629007208 | George Dale Mulder | Surgery | 802 N Riverside Rd., Ste G50, Saint Joseph, MO 64507-2553 | 2006-07-03 |
| 1700854023 | Kenneth W Shewell | Surgery | 4229 Frederick Ave Ste A, Saint Joseph, MO 64506-3159 | 2006-03-11 |
| 1992797963 | Phillip M Hornbostel | Surgery | 802 N Riverside Rd Ste 220, Saint Joseph, MO 64507-2509 | 2005-08-16 |
| 1073879011 | Khang Duc Le | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2012-04-04 |
| 1245544576 | Omar Melhem Ghanem | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2010-07-28 |
| 1578884441 | Michael L Webb | Surgery | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2010-06-15 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DR. DANIEL A STEPHENS.
| 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.