Active NPI
Allison A Stoecker, D.O.
- MOHS-Micrographic Surgery Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 5101026056
- Practice address
- 2433 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7602 - Phone
- (734) 477-0200
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DO184772 | OR | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | DO184772 | OR | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 5101026056 | MI | Primary |
Addresses
Primary practice location
2433 Oak Valley Dr Ste 400
Ann Arbor, MI 48103-7602
Mailing address
5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (855) 744-8554
Other practice location 1
123 Lansing St
Charlotte, MI 48813-1696
Phone (866) 915-9152
Other practice location 2
6888 Grand River Rd
Brighton, MI 48114-9345
Phone (810) 220-4422
Other practice location 3
2685 Jolly Rd
Okemos, MI 48864-3553
Phone (734) 594-7931
Other practice location 4
8245 Holly Rd Ste 101
Grand Blanc, MI 48439-2443
Phone (810) 606-7500
Other practice location 5
37605 Pembroke Ave
Livonia, MI 48152-1050
Phone (734) 591-7931
Other practice location 6
5084 Villa Linde Pkwy Ste 5
Flint, MI 48532-3422
Phone (810) 733-6050
Other practice location 7
401 E Elm St
Carson City, MI 48811-8600
Phone (866) 915-9152
Other practice location 8
5131 W Bristol Rd Ste A
Flint, MI 48507-2970
Phone (810) 733-2090
Other practice location 9
2256 W Hill Rd
Flint, MI 48507-4655
Phone (810) 249-7546
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101026056 | Other | MI | STATE LICENSE |
| 5315223017 | Other | MI | CDS |
| 1720436397 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Dermatology
- Education
- Michigan State University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2256 W Hill Rd
Flint, MI 48507-4655
Phone (810) 249-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.8 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 241 |
| Removal of skin lesions | 71 |
| Removal of skin cancer | 998 |
| Skin biopsy | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO184772 | OR | MD | Dermatology Physician |
| 5101026056 | MI | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey Bruell, M.D. P.C. | Dermatology | Current | Accepting new patients |
| Robert M Soderstrom MD PC | Dermatology | Past | Accepting new patients |
Locations
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
Organizations & group practices 3
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.
-
- Dermatology Physician
- Livonia, MI
- NPI 1306965983
-
- Dermatology Physician
- Flint, MI
- NPI 1043484421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1720436397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 VIRGINIA WAY STE 350",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272319",
"telephone_number": "855-744-8554",
"fax_number": "630-495-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2433 OAK VALLEY DR STE 400",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481037602",
"telephone_number": "734-477-0200"
}
],
"practiceLocations": [
{
"address_1": "123 Lansing St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "MI",
"postal_code": "488131696",
"country_code": "US",
"telephone_number": "866-915-9152",
"fax_number": "517-332-1696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6888 Grand River Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481149345",
"country_code": "US",
"telephone_number": "810-220-4422",
"fax_number": "810-220-1123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2685 Jolly Rd",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488643553",
"country_code": "US",
"telephone_number": "734-594-7931",
"fax_number": "734-464-0335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8245 Holly Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484392443",
"country_code": "US",
"telephone_number": "810-606-7500",
"fax_number": "810-606-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37605 Pembroke Ave",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481521050",
"country_code": "US",
"telephone_number": "734-591-7931",
"fax_number": "734-464-0335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5084 Villa Linde Pkwy Ste 5",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323422",
"country_code": "US",
"telephone_number": "810-733-6050",
"fax_number": "810-733-5991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 E Elm St",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "MI",
"postal_code": "488118600",
"country_code": "US",
"telephone_number": "866-915-9152",
"fax_number": "517-332-1696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5131 W Bristol Rd Ste A",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485072970",
"country_code": "US",
"telephone_number": "810-733-2090",
"fax_number": "630-495-1770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2256 W Hill Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485074655",
"country_code": "US",
"telephone_number": "810-249-7546",
"fax_number": "734-464-0335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOECKER",
"first_name": "ALLISON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "DO184772",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OR",
"license": "DO184772",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MI",
"license": "5101026056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5101026056",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "5315223017",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720436397",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.