Ellen Jo Stibitz, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003340 Issued in MI

Practice address

2201 S Getty St
Muskegon, MI 49444-1207

Phone

(231) 739-9315

Fax

(231) 737-1808

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Jo Vanderlaan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Infusion Associates PLLC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1487622296
  NPD (past)
• Michigan Medical Patient Care

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1073567806
  NPD (past)
• Michigan Medical Patient Care

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

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1396708533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441207",
            "telephone_number": "231-739-9315",
            "fax_number": "231-737-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441207",
            "telephone_number": "231-739-9315",
            "fax_number": "231-737-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBITZ",
        "first_name": "ELLEN",
        "middle_name": "JO",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "VANDERLAAN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernard T Steward
• Breann Stewart
• Douglas Blan Stewart, M.D.
• Jennifer Anne Stewart, LLMSW, CAADC, CCS
• Valerie Stewart
• Still Waters Vision Rehabilitation PLLC
• Beth Ann Stille, NP
• Kristen Stimac
• Joshua Stinger
• Wendy McDaniel Stinson, MA, LLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.