Individual provider Active NPI

Stephanie Thermozier, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Columbus, OH
National Provider Identifier
1780203588
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
35.156230 Issued in OH
Practice address
915 Olentangy River Rd FL 5
Columbus, OH 43212-3153
Phone
(614) 293-8116
Fax
(614) 293-5315
NPI assigned
Apr 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301510671 MI
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 35.156230 OH Primary

Addresses

Primary practice location

915 Olentangy River Rd FL 5
Columbus, OH 43212-3153

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8116

Other practice location 1

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240523002978 MI Practitioner - Ophthalmology 3173942869 Reassigns benefits to 3 organizations
I20260612003303 OH Practitioner - Ophthalmology 3173942869

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Ophthalmic and Facial Plastic SurgeryGroup PAC ID 4486637006, 9 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

29201 Telegraph Rd
Suite 324
Southfield, MI 48034-7646
Phone (248) 357-5100

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301510671MIMDOphthalmology Physician
35.156230OHMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 1, 2024 Accepting new patients
Consultants in Ophthalmic & Facial Plastic Surgery Ophthalmology CurrentSince Jul 7, 2024 Accepting new patients

Locations

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

29201 Telegraph Rd
Ste 324
Southfield, MI 48034
Phone (248) 357-5100

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: stephanie.thermozier.1@19711.direct.athenahealth.com
  • Direct secure messaging: sthermozier3463503@direct.trinity-health.org
  • Direct secure messaging: sthermozier69420@uihealth.direct-ci.com
  • Direct secure messaging: sthermozier2613647@epic00.corewelldirect.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1780203588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLENTANGY RIVER RD FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123153",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4717 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011423",
            "country_code": "US",
            "telephone_number": "313-577-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERMOZIER",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301510671",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.156230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.