NPIMap

Organization Active NPI

Sports and Regenerative Medicine PLLC

Doing business as STEM Health Systems

  • Family Medicine Physician
  • Frankenmuth, MI
National Provider Identifier
1013413236
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPORTS AND REGENERATIVE MEDICINE PLLC
Doing business as
STEM Health Systems
Practice address
170 W Genesee St
Frankenmuth, MI 48734-1305
Phone
(989) 652-7344
Fax
(989) 652-7355
NPI assigned
Apr 5, 2018
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gaelen August Rand
Title
Billing Specialist
Phone
(989) 652-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

170 W Genesee St
Frankenmuth, MI 48734-1305

Mailing address

170 W Genesee St
Frankenmuth, MI 48734-1305
Phone (989) 652-7344

Other practice location 1

4272 W Vienna Rd
Clio, MI 48420-9501
Phone (810) 547-1681

Other practice location 2

4212 Lennon Rd
Flint, MI 48507-1080
Phone (810) 733-2311

Other names 1

  • STEM Health Systems Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718001838 MI Part B Supplier - Clinic/Group Practice 0143577486 Receives reassigned benefits from 9 practitioners
Practice locations: Clio, MI; Frankenmuth, MI

National Provider Directory

National Provider Directory

Locations

4212 Lennon Rd
Ste 2
Flint, MI 48507

170 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-7344

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1013413236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341305",
            "telephone_number": "989-652-7344",
            "fax_number": "989-652-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341305",
            "telephone_number": "989-652-7344",
            "fax_number": "989-652-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4272 W Vienna Rd",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484209501",
            "country_code": "US",
            "telephone_number": "810-547-1681",
            "fax_number": "810-547-1390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4212 Lennon Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485071080",
            "country_code": "US",
            "telephone_number": "810-733-2311",
            "fax_number": "810-733-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS AND REGENERATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "GAELEN",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "989-652-7344"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEM Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.