STEPHANIE LIM (NPI# 1912414756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912414756 |
| Entity Type | Individual |
| Full Name | STEPHANIE LIM |
| Credential | NP |
| Practice Address |
17900 23 Mile Rd Macomb MI 48044-1161 |
| Mailing Address |
54148 Audubon Dr Macomb MI 48042-2398 |
| Practice Telephone | 5868689200 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704281857 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748555 | Stephanie Lim | Pharmacist | 6284 Primrose Ave, Temple City, CA 91780-1614 | 2019-12-30 |
| 1104395060 | Stephanie Tsui-erh Lim | Student in an Organized Health Care Education/Training Program | 347-825 Sherbrook Stret, Department of General Surgery Residency Training Progra, Winnipeg, MANITOBA R3T2N2 | 2018-11-20 |
| 1386053361 | Stephanie Lim | Dentist | 5108 Hartland Ct, Dublin, CA 94568-8771 | 2014-08-04 |
| 1063041754 | Stephanie Lim | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 2150, Orange, CA 92868-5920 | 2020-04-03 |
| 1922656966 | Stephanie Hyun Joo Lim | Counselor | 520 S Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2019-09-03 |
| 1548721582 | Stephanie Luy Lim | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-03-30 |
| 1750890380 | Stephanie Rose Lim | Pharmacist | 73 Covert Ave, Floral Park, NY 11001-3218 | 2017-09-27 |
| 1295178564 | Stephanie Lim | Anesthesiology | 521 Parnassus Ave, Dept of Anesthesia, Room S436, San Francisco, CA 94143-2133 | 2013-04-16 |
| 1265797146 | Stephanie Z Lim | Psychologist | 617 Veterans Blvd Ste 107, Redwood City, CA 94063-1404 | 2012-07-06 |
| 1336414853 | Stephanie C Lim | Pharmacist | 755 Howe Ave, Cuyahoga Falls, OH 44221-5123 | 2012-03-16 |
| Street Address |
17900 23 MILE RD |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006333 | Massimiliano P Vitale | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2006-01-06 |
| 1679106736 | Rose Evelyn Starceski | Physical Therapist | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2020-02-18 |
| 1851846257 | Premier Foot & Ankle Pllc | Podiatrist | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 | 2016-08-16 |
| 1487067260 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 401, Macomb, MI 48044-1161 | 2014-06-09 |
| 1295148070 | Seton Health Corporation of Southestern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2014-06-09 |
| 1033476767 | Ferah Adil Dalaly | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2012-04-19 |
| 1548579394 | Joseph Martin Samojedny IIi | Pharmacist | 17900 23 Mile Rd, Suite 104, Macomb, MI 48044-1161 | 2010-09-28 |
| 1154558245 | Stefano Matthew Militello | Podiatrist | 17900 23 Mile Rd, Ste 204, Macomb, MI 48044-1161 | 2009-06-16 |
| 1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
| 1689839490 | Rachel Marie Vandenhemel | Physical Therapy Assistant | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714262 | Kendra Khan | Nurse Practitioner | 47340 Savannah Dr, Macomb, MI 48044-2795 | 2020-03-04 |
| 1225661267 | Michelle Kelli Thomas | Nurse Practitioner | 48221 Farah Dr, Macomb, MI 48044-2010 | 2020-02-18 |
| 1609424506 | Carla E Butcher | Nurse Practitioner | 51538 Silver Bell Dr, Macomb, MI 48042-4348 | 2019-09-04 |
| 1972162337 | Karla Ostaszewski | Nurse Practitioner | 48153 Virginia Dr, Macomb, MI 48044-4906 | 2019-06-10 |
| 1962960518 | Matthew Thomas Maraman | Nurse Practitioner | 23572 Shepherd Ln, Macomb, MI 48042-5517 | 2019-03-03 |
| 1861957383 | John Mrachina | Nurse Practitioner | 19612 Hudson River Dr, Macomb, MI 48044-4242 | 2019-02-08 |
| 1942765680 | Trinia Ann Nappo | Nurse Practitioner | 49195 Deneweth Farms Dr, Macomb, MI 48044-1553 | 2019-02-06 |
| 1558833632 | Carol Hilliker | Nurse Practitioner | 46326 Sawyer Ln, Macomb, MI 48044-6218 | 2018-12-29 |
| 1295249951 | Quinnkeela L Nash-el | Nurse Practitioner | 21360 John Dr, Macomb, MI 48044-6405 | 2017-11-16 |
| 1841724929 | Myla Guangco Bacalso | Nurse Practitioner | 50083 Margaret Ave, Macomb, MI 48044-6340 | 2017-04-17 |
| Find all providers in MACOMB | ||||
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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.