STEPHANIE MARIE MALLORD (NPI# 1861775959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861775959 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE MALLORD |
| Credential | N.P. |
| Practice Address |
4201 Campus Ridge Drive Midland MI 48640 |
| Practice Telephone | 9894885450 |
| Practice Fax Number | 9894885455 |
| Mailing Telephone | 9894885450 |
| Mailing Fax Number | 9894885455 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
4704273474 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4201 CAMPUS RIDGE DRIVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541441 | Wilfred Lewis Vander Roest | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2005-07-12 |
| 1538511571 | Kathryn E Esch | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2016-07-01 |
| 1952793622 | Steven Laporte | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-03-04 |
| 1790177707 | Devon Brodie | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-02-27 |
| 1407259658 | Erik Kuhl | Physician Assistant | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-10-02 |
| 1689082406 | Ardeth Greene | Registered Nurse | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-07-24 |
| 1790196145 | Sharon Hakes | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-05-19 |
| 1487077301 | Jamie Trumble | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-01-29 |
| 1609217603 | Jennifer A Muzzy | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2013-07-08 |
| 1316226830 | Abbott Mayton Smith | Physician Assistant | 4201 Campus Ridge Drive, Midland, MI 48640 | 2011-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770505901 | Nola Sikora Damon | Nurse Practitioner | 3409 Andrews Hwy, Midland, TX 79703-5149 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279117 | Lindsey Morton | Nurse Practitioner | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2019-11-14 |
| 1740824564 | Kelly Rose | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-11-05 |
| 1497396162 | Mary Placido | Nurse Practitioner | 33155 Annapolis St, Wayne, MI 48184-2405 | 2019-10-03 |
| 1710533799 | Catherine I Giles | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2019-08-14 |
| 1649834359 | Matthew Donald Preston | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-04-29 |
| 1356822266 | Jared Aldon Rogge | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2018-08-28 |
| 1366921520 | Nicholas Badgley | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2018-08-08 |
| 1427534312 | Angela Rose Rizzi | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-07-14 |
| 1861988115 | Jessica Orsini | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-10 |
| 1972099778 | Renata Dacosta | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-07-03 |
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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.