Individual provider Active NPI

Stephanie Hail Sando, D.O.

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1396964169
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101017041 Issued in MI
Practice address
1675 Leahy St
Suite 428
Muskegon, MI 49442-5500
Phone
(231) 672-3300
Fax
(231) 672-3380
NPI assigned
Apr 24, 2007
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101017041 MI Primary

Addresses

Primary practice location

1675 Leahy St
Suite 428
Muskegon, MI 49442-5500

Mailing address

PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444

Other identifiers 3

IdentifierTypeStateIssuer
MI1763067OtherMIMEDICARE GROUP PTAN
N42130040OtherMIMEDICARE GROUP PTAN
MI4162OtherMIMEDICARE GROUP PTAN

Other names 1

  • Dr. Stephaine Marie Hail Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssando37098@direct.trinity-health.org Direct

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
I20100820001123 MI Practitioner - Obstetrics/Gynecology 3375677685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Women's Health ServicesGroup PAC ID 9133171358, 11 clinicians

Practice addresses (Care Compare)

1675 Leahy St
Suite 201a
Muskegon, MI 49442-5542
Phone (231) 672-6600

1675 Leahy St
Suite 428B
Muskegon, MI 49442-5500
Phone (231) 672-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners-Obstetrics and Gynecology Specialist Obstetrics & Gynecology CurrentSince Jun 1, 2013 Accepting new patients
Mercy Women's Health Services Obstetrics & Gynecology CurrentSince Oct 1, 2013 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Sep 8, 2013 Accepting new patients
Mercy Health Partners PastSince Jun 1, 2013 Accepting new patients
Mercy Specialty Services Obstetrics & Gynecology PastSince Oct 1, 2010 Accepting new patients
Mercy Health Partners Past Accepting new patients
Mercy Urgent Care Obstetrics & Gynecology Past Accepting new patients

Locations

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

1675 Leahy St
Ste 311A
Muskegon, MI 49442
Phone (231) 728-5600

1675 Leahy St
Ste 428
Muskegon, MI 49442
Phone (231) 672-3300

1675 Leahy St
Ste 428B
Muskegon, MI 49442
Phone (231) 672-3300

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1396964169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431847",
            "telephone_number": "231-727-4444",
            "fax_number": "231-728-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 428",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-672-3300",
            "fax_number": "231-672-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDO",
        "first_name": "STEPHANIE",
        "middle_name": "HAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101017041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "MI1763067",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "N42130040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "MI4162",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssando37098@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Muskegon",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1675 Leahy St",
            "address_2": "Suite 428",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494425500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHAINE",
            "last_name": "HAIL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.