Active NPI
James S Stepanski, DO
- Family Medicine Physician
- Waterford, MI
National Provider Identifier
1669462974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- JS010360
- Practice address
- 4030 W Walton Blvd
Waterford, MI 48329-4174 - Phone
- (248) 674-0431
- Fax
- (248) 674-1573
- NPI assigned
- Oct 27, 2005
- 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 | JS010360 | MI | Primary |
Addresses
Primary practice location
4030 W Walton Blvd
Waterford, MI 48329-4174
Mailing address
4030 W Walton Blvd
Waterford, MI 48329-4174
Phone (248) 674-0431
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JS010360 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Oakland | Past | Accepting new patients |
Interoperability endpoints
- jamesstepanski@wmpc.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1669462974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 W WALTON BLVD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294174",
"telephone_number": "248-674-0431",
"fax_number": "248-674-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 W WALTON BLVD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294174",
"telephone_number": "248-674-0431",
"fax_number": "248-674-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPANSKI",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "JS010360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.