DR. JILL L STEPHENSON-MCCOLE (NPI# 1831290402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831290402 |
| Entity Type | Individual |
| Full Name | DR. JILL L STEPHENSON-MCCOLE |
| Credential | MD |
| Practice Address |
2040 Aurelius Rd Holt MI 48842-1367 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5176942217 |
| Practice Fax Number | 5176942655 |
| Mailing Telephone | 5176450000 |
| Mailing Fax Number | 5176454559 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301093889 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 13334867 | 05 |
| Street Address |
2040 AURELIUS RD |
| City | HOLT |
| State | MI |
| Zip Code | 48842-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922472315 | Barbara Anne Clayborn | Physical Therapist | 2040 Aurelius Rd, Suite 5, Holt, MI 48842-1367 | 2015-11-23 |
| 1427450774 | Michael Cox | Physical Therapist | 2040 Aurelius Rd, Suite 5, Holt, MI 48842-1367 | 2014-09-18 |
| 1093133498 | Advanced Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 2040 Aurelius Rd, Suite 1a, Holt, MI 48842-1367 | 2014-04-02 |
| 1124370366 | Donald William Rademacher | Optometrist | 2040 Aurelius Rd, Suite 20, Holt, MI 48842-1367 | 2012-10-12 |
| 1538221817 | Holt Eye Care, Pllc | Optometrist | 2040 Aurelius Rd, Suite 20, Holt, MI 48842-1367 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708538 | Dylan Voris | Psychologist | 4523 E Willoughby Rd., Holt, MI 48842 | 2020-04-11 |
| 1013458835 | Allison Ann Pingston | Specialist/Technologist | 23747 Rolling Ridge Ln., Holt, MI 48842 | 2017-03-13 |
| 1528417706 | Marybeth Timotiwu | Technician, Other | 3940 Acorn Cir, Holt, MI 48842 | 2016-06-08 |
| 1831593623 | Mary Nelson | Rehabilitation Practitioner | 3860 Wachtel Drive, Holt, MI 48842 | 2014-10-22 |
| 1598869703 | Nicole Elizabeth Durnin | Pharmacist | 2018 N. Cedar Street, Suite A, Holt, MI 48842 | 2006-09-08 |
| 1225130560 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2240 Cedar St, Holt, MI 48842 | 2006-09-05 |
| 1073622973 | Marilyn Viera | Family Medicine | 2380 Cedat St, Holt, MI 48842 | 2006-08-30 |
| 1942228291 | Stephen N. Glover | Pharmacist | 2390 N. Cedar St., Holt, MI 48842 | 2006-07-17 |
| 1740244169 | Pamela Thompson | Family Medicine | 4221 Charlar Dr, Holt, MI 48842 | 2006-04-13 |
| 1407847387 | Amy Lynn Cousineau | Optometrist | 2040 Aurelius Rd Ste 20, Holt, MI 48842 | 2005-10-31 |
| Find all providers in zip 48842 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1447582887 | Bio-care Inc | Family Medicine | 1778 Holloway Dr, Suite A, Holt, MI 48842-7725 | 2010-02-10 |
| 1073622973 | Marilyn Viera | Family Medicine | 2380 Cedat St, Holt, MI 48842 | 2006-08-30 |
| 1265479554 | Louis Lessard | Family Medicine | 4738 W Holt Rd, Holt, MI 48842-1666 | 2006-06-02 |
| 1356398655 | Dr. Linda Fisher-williams, D.o. | Family Medicine | 4801 Willoughby Rd, Holt, MI 48842-1000 | 2006-05-30 |
| 1548219389 | Mark M Richardson | Family Medicine | 4378 W Holt Rd, Holt, MI 48842-1666 | 2006-05-09 |
| 1407814916 | Timothy T Wellemeyer | Family Medicine | 4378 Holt Rd, Holt, MI 48842-1666 | 2006-05-03 |
| 1740244169 | Pamela Thompson | Family Medicine | 4221 Charlar Dr, Holt, MI 48842 | 2006-04-13 |
| 1891763306 | Renu Chaturvedi | Family Medicine | 2450 Delhi Commerce Dr, Suite 4, Holt, MI 48842-2193 | 2006-03-09 |
| 1396352894 | Rachel Nicole Sedgewick | Family Medicine | 2380 Cedar St, Holt, MI 48842-2143 | 2020-09-28 |
| Find all providers in HOLT | ||||
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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.