Stephen McMahon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301069699 Issued in MI

Practice address

7150 Kalamazoo Ave SE Ste a
Caledonia, MI 49316-9197

Phone

(616) 818-7454

Fax

(616) 818-7455

NPI assigned

Jun 7, 2006

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smcmahon8497@epic00.corewelldirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Medical Patient Care

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
  • NPI 1871741652
  NPD (past)
• Mikids Pediatrics, PC

  • Pediatrics Physician
  • Caledonia, MI
  • NPI 1043722176
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1265472328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 KALAMAZOO AVE SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169197",
            "telephone_number": "616-818-7454",
            "fax_number": "616-818-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 KALAMAZOO AVE SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169197",
            "telephone_number": "616-818-7454",
            "fax_number": "616-818-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 68th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49508",
            "country_code": "US",
            "telephone_number": "616-534-9881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 Kalamazoo Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49508",
            "country_code": "US",
            "telephone_number": "616-818-7454",
            "fax_number": "616-818-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301069699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalila Masic, PHARMD
• Therese Joan Maupin-Moore, LLMSW
• Jamie Jean McCartney, M.D.
• Christopher Patrick McCloskey, DPT
• Brian Scott McKeown, DDS
• Meagan McParlan
• Liton Mecano, MD
• Brent A Medema, D.D.S.
• Meijer Inc (Meijer Pharmacy #199)
• Meliora Psychological Services, PLLC

• Pediatrics Physician in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.