Stephanie L. Illian (NPI# 1285991356, PAC ID# 9335303296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285991356 |
| PAC ID by PECOS | 9335303296 |
| Professional Enrollment ID | I20120606000195 |
| Full Name | Stephanie L. Illian |
| Organization Legal Name | GENERAL ORTHOPEDICS PC |
| Address |
4800 Highland Rd Waterford MI 48328-1139 |
| Phone Number | 2486730500 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294788261 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230277 | HURON VALLEY-SINAI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4800 Highland Rd, Waterford, MI 48328-1139 | 2486730500 | GENERAL ORTHOPEDICS PC |
| Organization Legal Name | GENERAL ORTHOPEDICS PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip T Schmitt | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Richard Steven Bartholomew | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Stephanie Rae Fulton | Physician Assistant | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Melissa Beth Randall | Physician Assistant | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Yvonne M Dolohanty-kontny | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Anthony R Pasquale | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| William M Kohen | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Megan Lee Prater | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Brenda L Sanford | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Street Address |
4800 HIGHLAND RD |
| City | WATERFORD |
| State | MI |
| Zip | 48328-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip T Schmitt | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Richard Steven Bartholomew | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Stephanie Rae Fulton | Physician Assistant | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Melissa Beth Randall | Physician Assistant | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Yvonne M Dolohanty-kontny | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Anthony R Pasquale | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| William M Kohen | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Megan Lee Prater | Physical Therapy | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Brenda L Sanford | Orthopedic Surgery | General Orthopedics PC | 4800 Highland Rd, Waterford, MI 48328-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indira J Hall | Clinical Social Worker | 4523 Highland Rd, Waterford, MI 48328-1132 | |
| Faris P Atchoo | Internal Medicine | 4511 Highland Rd, Waterford, MI 48328-1132 | |
| Marshall D Maldaver | Psychologist, Clinical | 4950 Highland Rd, Waterford, MI 48328-1142 | |
| Janette Shallal | Clinical Social Worker | 4950 Highland Rd, Waterford, MI 48328-1142 | |
| Denise J Neubauer | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 4995 Highland Rd, Waterford, MI 48328-1143 |
| Andrew Dean Scrogin | Endocrinology | Sjmh Medical Practice-smhc | 4400 Highland Rd, Waterford, MI 48328-1222 |
| Li Song | Nurse Practitioner | Mazher Hussain Md, PC | 4206 Pontiac Lake Rd, Waterford, MI 48328-1261 |
| Mazher Hussain | Pain Management | Mazher Hussain Md, PC | 4206 Pontiac Lake Rd, Waterford, MI 48328-1261 |
| Iryna Wolberg | Nurse Practitioner | Mazher Hussain Md, PC | 4206 Pontiac Lake Rd, Waterford, MI 48328-1261 |
| Leslie A Orzech | Oral Surgery | Oral and Facial Surgeons of Michigan PC | 4250 Pontiac Lake Rd, Suite B, Waterford, MI 48328-1281 |
| Find all physicians in zip 48328 | |||
| City | WATERFORD |
| Zip Code | 48328 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephanie L. Illian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.