Patrick Joseph Stover, M.D., M.P.H.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

4301050451 Issued in MI

Practice address

7286 Surfwood Dr
Fenton, MI 48430-9353

Phone

(810) 750-7621

Fax

(313) 667-4456

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1770782005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7286 SURFWOOD DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309353",
            "telephone_number": "810-750-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7286 SURFWOOD DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309353",
            "telephone_number": "810-750-7621",
            "fax_number": "313-667-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050451",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301050451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayler Rain Stevens, LLPC
• Clarissa Dawn Stewart -Guest, ACUPUNCTURE
• Rebecca Anne Stiff, LPTA
• Brian E Stone, DC
• Richard Preston Stork, D.C.
• Paige Christian Sutton, CF-SLP
• SVC Dermatology PC (Skin and Vein Center)
• Jamie Sweet, LMT
• Synthesis Medical Specialties, P.C.
• Sunhee Szynkowski, PT

• Occupational Medicine Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Occupational Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.