Organization Active NPI

Stevens & Hardie Family Practice PC

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1720115173
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEVENS & HARDIE FAMILY PRACTICE PC
Practice address
107 W Main St
Marquette, MI 49855-4604
Phone
(906) 225-3988
Fax
(906) 225-4707
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Dr. Spring L Madosh, MDNPI 1003127028
Title
Doctor President
Phone
(906) 225-3988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

107 W Main St
Marquette, MI 49855-4604

Mailing address

1440 W Ridge St Ste 2
Marquette, MI 49855-3199
Phone (906) 225-3988

Other names 2

  • South Shore Family Practice Doing business as
  • South Shore Family Practice PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000460 MI Part B Supplier - Clinic/Group Practice 7416030788 Receives reassigned benefits from 7 practitioners
Practice locations: Marquette, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0708822South Shore Family Practice P C107 West Main Street, Marquette, MI 49855Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

107 W Main St
Marquette, MI 49855
Phone (906) 225-3988

1440 W Ridge St
Ste 2
Marquette, MI 49855

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1720115173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W RIDGE ST STE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553199",
            "telephone_number": "906-225-3988",
            "fax_number": "906-225-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554604",
            "telephone_number": "906-225-3988",
            "fax_number": "906-225-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS & HARDIE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "MADOSH",
        "authorized_official_first_name": "SPRING",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "906-225-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Shore Family Practice PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.