Active NPI
Stephan A Jozlin, PA-C
- Physician Assistant
- Battle Creek, MI
National Provider Identifier
1215955414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002413
- Practice address
- 154 Edgebrook Dr
Battle Creek, MI 49015-4710 - Phone
- (269) 579-4223
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002413 | MI | Primary |
Addresses
Primary practice location
154 Edgebrook Dr
Battle Creek, MI 49015-4710
Mailing address
217 S. Grand Ave. Third Floor
MHM Correctional Services, Inc.
Lansing, MI 48933
Phone (888) 708-3123
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002413 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1215955414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 S. GRAND AVE. THIRD FLOOR",
"address_2": "MHM CORRECTIONAL SERVICES, INC.",
"city": "LANSING",
"state": "MI",
"postal_code": "48933",
"telephone_number": "888-708-3123",
"fax_number": "517-708-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 EDGEBROOK DR",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154710",
"telephone_number": "269-579-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOZLIN",
"first_name": "STEPHAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.