Stephen Vincent Buffa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601011929 Issued in MI

Practice address

461 W Huron St # 107
Pontiac, MI 48341-1601

Phone

(248) 724-7600

NPI assigned

Nov 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.buffa.p1@direct.oihn.nextgenshare.com

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.

• Oakland Integrated Healthcare Network

  dba OIHN Baldwin Family Medicine Center

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1457711202
  NPD
• Oakland Integrated Healthcare Network

  dba Honor Community Health

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1740099464
  NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1144093758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W HURON ST # 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-724-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST # 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-724-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFA",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marieanne - Buchanan, LMSW
• Tricia Lynn Buchanan, CRNA
• Samuel Lee Buckley III, EMT
• Aquinnah Nicole Buell
• Tyra L Bueno, BA, CAC1
• Shahzad S Bulsara
• Mahalia Burgos-Stephen
• Lorraine Lee Burgunder-Zdravkovski, DNP
• Stacie Nicole Burns I
• Deanne Jean Bush I

• Physician Assistant in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.