Michael J. Stevens, CPO

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

LPO.120 Issued in OH

Practice address

419 Tomahawk Dr
Maumee, OH 43537-1633

Phone

(419) 893-0748

Fax

(419) 891-9172

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marshall-Kloene Orthopedics, Inc.

  • Customized Equipment (DME)
  • Maumee, OH
  • NPI 1285616714
  NPD Authorized official
• Marshall-Kloene Orthopedics, Inc.

  • Customized Equipment (DME)
  • Bryan, OH
  • NPI 1669031910
  NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1700072014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOMAHAWK DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371633",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOMAHAWK DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371633",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 US 127",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435068645",
            "country_code": "US",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "OH",
            "license": "LPO.120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5537502",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Stang
• Jeffery Steer, CSA
• Zachary Stephan
• Stephanie D McGuire Wise
• Courtney Elizabeth Stephens
• Corey Stewart
• Robert J Stierwalt, MD
• Melanie Stiles
• Cory Wayne Stock, D.C.
• Stone & Wildflower Counseling & Consultation

• Orthotic Fitter in Maumee, OH
• Providers in Maumee, OH by specialty
• Orthotic Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.