Active NPI
Micheal D Stephens, M.D.
- Family Medicine Physician
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 231144
- Practice address
- 110 W Utica St
Oswego, NY 13126-3057 - Phone
- (315) 342-2024
- Fax
- (315) 343-5317
- NPI assigned
- Jun 22, 2006
- Last updated
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 231144 | NY | Primary |
Addresses
Primary practice location
110 W Utica St
Oswego, NY 13126-3057
Mailing address
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02528756 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
110 W Utica St
Oswego, NY 13126-3047
Phone (315) 342-2024
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Care PC | Family Medicine | Current | Accepting new patients |
| Oswego Family Physicians PC | Current | Accepting new patients | |
| Oswego Hospital | Current | Accepting new patients | |
| Covenant Medical Group | Family Medicine | Past | Accepting new patients |
Locations
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
110 W Utica St
Oswego, NY 13126
Phone (315) 342-2024
Interoperability endpoints
- msteph@oswegohealth.medentdirect.com
- stephem@hiemail.healtheconnections.org
Ownership & related parties
All facility ownership & control disclosures 14
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Connextcare | Federally qualified health center | Corporate Officer | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | Apr 1, 2020 |
| Northern Oswego County Health Services, Inc. | Federally qualified health center | Corporate Director | May 1, 2020 |
| Connextcare | Federally qualified health center | Corporate Director | Apr 1, 2020 |
Owned or controlled facilities with NPI records 13
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Health Clinic/Center
- Sandy Creek, NY
- NPI 1043611304
Corporate Director
-
- Community Health Clinic/Center
- Parish, NY
- NPI 1104227461
Corporate Director
-
- Community Health Clinic/Center
- Pulaski, NY
- NPI 1295136372
Corporate Director
-
- Community Health Clinic/Center
- Parish, NY
- NPI 1295136604
Corporate Director
-
- Community Health Clinic/Center
- Phoenix, NY
- NPI 1477953685
Corporate Director
-
dba ConnextCare
- Community Health Clinic/Center
- Pulaski, NY
- NPI 1508850280
Corporate Director, Corporate Officer
-
- Community Health Clinic/Center
- Central Square, NY
- NPI 1558945402
Corporate Director
-
- Community Health Clinic/Center
- Parish, NY
- NPI 1578963773
Corporate Director
-
- Community Health Clinic/Center
- Mexico, NY
- NPI 1598166670
Corporate Director
-
- Community Health Clinic/Center
- Pulaski, NY
- NPI 1669873071
Corporate Director
-
- Community Health Clinic/Center
- Mexico, NY
- NPI 1689074882
Corporate Director
-
- Community Health Clinic/Center
- Fulton, NY
- NPI 1891195095
Corporate Director
Organizations & group practices 4
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.
-
dba Oswego Health Medical Practice
- Internal Medicine Physician
- Oswego, NY
- NPI 1073868113
Family Medicine
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
dba Oswego Family Physicians
- Non-Pharmacy Dispensing Site
- Oswego, NY
- NPI 1629489588
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fulton, NY
- NPI 1285639625
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
dba Hospice of Central New York
- Community Based Hospice Care Agency
- Liverpool, NY
- NPI 1912098666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1659317980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262507",
"telephone_number": "315-349-5511",
"fax_number": "315-349-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W UTICA ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131263057",
"telephone_number": "315-342-2024",
"fax_number": "315-343-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHEAL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "231144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02528756",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.