Individual provider Active NPI

Stephen F Trombley Jr., MD

  • Pediatrics Physician
  • Ludington, MI
National Provider Identifier
1396326112
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301511294 Issued in MI
Practice address
907 E Tinkham Ave
Ludington, MI 49431-1537
Phone
(231) 843-3477
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301511294 MI Primary

Addresses

Primary practice location

907 E Tinkham Ave
Ludington, MI 49431-1537

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003463 MI Practitioner - Pediatric Medicine 7517368392 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center Current Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jul 1, 2024 Accepting new patients
Spectrum Health United CurrentSince Jan 1, 2025 Accepting new patients
Pennock Hospital CurrentSince Jan 1, 2025 Accepting new patients
Mecosta County Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Spectrum Health United CurrentSince Jan 1, 2025 Accepting new patients
Memorial Medical Center of West Michigan Pediatrics CurrentSince Jul 1, 2024 Accepting new patients
Newaygo County General Hospital Association CurrentSince Jan 1, 2025 Accepting new patients
Mecosta County Medical Center Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
McLaren Northern Michigan CurrentSince Aug 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Aug 1, 2024 Accepting new patients
Newaygo County General Hospital Association CurrentSince Jan 1, 2025 Accepting new patients
Pennock Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

907 E Tinkham Ave
Ludington, MI 49431
Phone (231) 843-3477

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

330 Barclay Ave NE
Ste 300
Wyoming, MI 49503
Phone (616) 391-8806

Interoperability endpoints

  • Direct secure messaging: strombley286383@epic00.corewelldirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1396326112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E TINKHAM AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311537",
            "telephone_number": "231-843-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBLEY",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301511294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.