Stanley J Conhon, MD
Individual provider Active NPI Family Medicine Physician · Davison, MI
NPI 1487642575 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1487642575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301069918 (MI)
- Practice address
- 10090 E Lippincott Blvd
Davison, MI 48423-9151 - Phone
- (810) 658-1130
- Fax
- (810) 658-8589
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McLaren Flint
Practice addresses (Care Compare)
10090 E Lippincott Blvd
McLaren Flint Davison Community Medical Cen
Davison, MI 48423-9151
Phone (810) 653-1130
Hospital & facility affiliations
- McLaren Home Health
- McLaren Flint
- McLaren Lapeer Region
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100614000660 | MI | Practitioner - Family Practice | 7012047244 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301069918 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Flint | Family Medicine | Current |
Accepting new patients |
| McLaren Flint | Current |
Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Flint | Past | Accepting new patients |
Locations
10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301069918 | MI | Yes |
Addresses
Primary practice location
10090 E Lippincott Blvd
Davison, MI 48423-9151
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253092 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 0988440 | Other | MI | HEALTH PLUS OF MI |
| H17587 | Other | MI | HEALTH ALLIANCE PLAN |
| 4255705 | Medicaid | MI | |
| 7738126 | Other | MI | AETNA |
| C7601 | Other | MI | MCARE |
| 0802505252 | Other | MI | BLUE CROSS BLUE SHIELD |
| 253092 | Other | MI | MCLAREN HEALTH PLAN |
Other providers in Davison, MI
- Rebecca Collins
- Louis Gibson Columbus
- Community Health and Comfort Care
- Community Health and Comfort Care Inc
- Betsy Karleen Comstock
- Santino D Cooper
- Tammara Lee Copeland
- David M Coriasso
- Paul Allen Crotteau
- Jessica Danko
All providers in Davison, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.