Stephen Dehaan, PAC
Individual provider Active NPI Physician Assistant · White Cloud, MI
NPI 1407884257 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1407884257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601001543 (MI)
- Practice address
- 555 E Wilcox Ave
White Cloud, MI 49349-7512 - Phone
- (231) 689-3268
- Fax
- (231) 689-1030
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Family Health Care | Past | Accepting new patients | |
| Baldwin Family Health Care | Past | Accepting new patients |
Interoperability endpoints
- stephen.dehaan.p1@direct.bfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001543 | MI | Yes |
Addresses
Primary practice location
555 E Wilcox Ave
White Cloud, MI 49349-7512
Mailing address
520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephen.dehaan.p1@direct.nextgenshare.com |
Other providers in White Cloud, MI
- Tammy Jane Cornelius
- Crisma Coronado
- County of Newaygo
- Roni M Crisman
- James H. Davis
- Paige Deitering
- Jennifer Deja
- Toni Dejohn
- Emily Elizabeth Derks
- Amy Marie Derus
All providers in White Cloud, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.