Michel Stephan MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F8687 Issued in TX

Legal business name

MICHEL STEPHAN MD PA

Practice address

2540 N Galloway Ave
#101
Mesquite, TX 75150-6306

Phone

(972) 226-0405

Fax

(972) 270-4959

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Michel Khamis Stephan, M DNPI 1912966938

Title

President

Phone

(972) 226-0405

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TEXAS SURGERY ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michel Khamis Stephan, MD

  • Surgery Physician
  • Mesquite, TX
  • NPI 1912966938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1619946324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NTH GALLOWAY AVENUE #101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-226-0405",
            "fax_number": "972-270-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "#101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-226-0405",
            "fax_number": "972-270-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL STEPHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "KHAMIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-226-0405",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123330601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082476501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS SURGERY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metroplex Ora L and Facial Surgery
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• Hassanatu Michael, NP
• Elizabeth B Michiels, MS CCC/SLP
• Michael A. Mihelich, D.C.
• Mikah House for Hope LLC
• Millennial Transportation Services
• Grace Ganuelas Miller, LPT

• Surgery Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.