Active NPI
Robert L. Stephenson, M.D.
- Ophthalmology Physician
- Birmingham, MI
National Provider Identifier
1073507869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- RS029828
- Practice address
- 800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005 - Phone
- (248) 644-8060
- Fax
- (248) 644-5081
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | RS029828 | MI | Primary |
Addresses
Primary practice location
800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005
Mailing address
800 S Adams Rd
Suite 201
Birmingham, MI 48009-7005
Phone (248) 644-8060
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381867275 | Other | PPOM | |
| 381867275 | Other | GREAT LAKES | |
| 1217433 | Medicaid | MI | |
| 381867275 | Other | AETNA | |
| 381867275 | Other | CIGNA | |
| 381867275 | Other | HARRINGTON BENEFITS | |
| 381867275 | Other | WPS TRICARE FOR LIFE | |
| 0F37296 | Other | MI | BCBSM |
| 180F372960 | Other | MI | BLUE CARE NETWORK |
| 381867275 | Other | UNITED HEALTHCARE | |
| C4175 | Other | MCARE | |
| 0F37296001 | Other | RAILROAD MEDICARE | |
| 381867275 | Other | FIRST HEALTH | |
| B45467 | Other | HAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS029828 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a. Vollmer, MD, PC | Past | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Roseville, MI
- NPI 1790965838
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1073507869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S ADAMS RD",
"address_2": "SUITE 201",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097005",
"telephone_number": "248-644-8060",
"fax_number": "248-644-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S ADAMS RD",
"address_2": "SUITE 201",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097005",
"telephone_number": "248-644-8060",
"fax_number": "248-644-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ROBERT",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "RS029828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "381867275",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1217433",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRINGTON BENEFITS",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE FOR LIFE",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0F37296",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "180F372960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C4175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "0F37296001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "381867275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "B45467",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.