MARK R STEPHAN (NPI# 1871553693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871553693 |
Entity Type | Individual |
Full Name | MARK R STEPHAN |
Credential | M.D. |
Practice Address |
1300 N 12th St Suite 605 Phoenix AZ 85006-2848 |
Mailing Address |
1010 N Country Club Dr Mesa AZ 85201-3309 |
Practice Telephone | 6022394567 |
Mailing Telephone | 4804612409 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2008-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 24031 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 578437 | 05 |
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 |
1225087596 | Mark Joseph Stephan | Pediatrics | Madigan Army Medical Center, 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-05-06 |
Street Address |
1300 N 12TH ST SUITE 605 |
City | PHOENIX |
State | AZ |
Zip Code | 85006-2848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192590 | William Walter Holland | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2005-05-24 |
1699235127 | Mary Mihalko | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2019-03-21 |
1447779608 | Sara Marie Sorace | Physician Assistant | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2017-09-19 |
1104350990 | Hillary Tamar | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
1669906459 | Michelle Sommer | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
1922532712 | Herbert Rosenbaum | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-18 |
1992239909 | Karalyne Blochberger | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
1104350123 | Akua Ekunwe | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
1073047098 | Viktoria Krajnc | Family Medicine | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2017-04-17 |
1568995876 | Stefanie Handrick Brichta | Student in an Organized Health Care Education/Training Program | 1300 N 12th St, Suite 320, Phoenix, AZ 85006-2848 | 2017-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
Find all providers in zip 85006 |
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 |
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1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
Find all providers in PHOENIX |
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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.