Stephen C. Dalm DO PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

008560 Issued in MI

Legal business name

STEPHEN C. DALM DO PC

Practice address

5060 Cascade Rd SE
Ste C
Grand Rapids, MI 49546-3808

Phone

(616) 247-1700

Fax

(616) 247-3679

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Christian Dalm, DO

Title

President

Phone

(616) 247-1700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GRAND RAPIDS OB/GYN Doing business as

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1801997952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE",
            "address_2": "STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-247-1700",
            "fax_number": "616-247-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE",
            "address_2": "STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-247-1700",
            "fax_number": "616-247-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C. DALM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "DALM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-247-1700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "008560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160D110280",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2739380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND RAPIDS OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jo Stepanek, OTR,CHT
• Zachary Stepanovich
• Molly Stephan, BA
• Nicholas Alexander Stephanoff, M.D.
• Robert Thomas Stephans, MSW, LMSW, ADS
• Stephen Prefontaine, DO, PLC
• Delaney Stephens
• Eden Amber Stephens, LLMSW
• Nicholas Stephens
• Stacey Madeline Stephens, PT, DPT

• Obstetrics & Gynecology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.