Stony Creek Internal Medicine PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STONY CREEK INTERNAL MEDICINE PLC

Practice address

52915 Mound Road
Shelby Township, MI 48316-3266

Phone

(586) 992-2400

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Lisa HallNPI 1992864417

Title

Owner

Phone

(586) 992-2400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Hall, M.D.

  • Internal Medicine Physician
  • Shelby Township, MI
  • NPI 1992864417
  Medicare reassignment NPD Authorized official
• Alicia Ann Murphy, FNP-C

  • Family Nurse Practitioner
  • Shelby TWP, MI
  • NPI 1740729961
  Medicare reassignment NPD
• Michael Timothy Hanselman, D.C.

  • Chiropractor
  • Shelby Township, MI
  • NPI 1871633651
  NPD
• Emily A Nolfo, MD

  • Internal Medicine Physician
  • Guilford, CT
  • NPI 1417971920
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1093835647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52915 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-992-2400",
            "fax_number": "586-992-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52915 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-992-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY CREEK INTERNAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-992-2400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corren Stewart
• Dionne Stewart, LMT
• Elizabeth Stewart
• Elizabeth Stewart
• Simona Stoian
• Stony Creek Urgent Care PLLC
• Alexandria Paige Stout
• Heather Pranzarone Stratton, D.D.S.
• Christa Nicole Strauther
• Alana L Streight

• Internal Medicine Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.