Individual provider Active NPI

Stephanie Joseph Gilkey, PA-C

  • Physician Assistant
  • Birmingham, MI
National Provider Identifier
1508475740
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001424 Issued in MI
Practice address
1505 Pleasant CT
Birmingham, MI 48009-2909
Phone
(248) 644-0840
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001424 MI Primary

Addresses

Primary practice location

1505 Pleasant CT
Birmingham, MI 48009-2909

Mailing address

1505 Pleasant CT
Birmingham, MI 48009-2909
Phone (248) 644-0840

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Birmingham Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5601001424MIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1508475740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PLEASANT CT",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480092909",
            "telephone_number": "248-644-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PLEASANT CT",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480092909",
            "telephone_number": "248-644-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKEY",
        "first_name": "STEPHANIE",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Birmingham",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 Pleasant Ct",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480092909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.