Alyssa Stork, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008194 Issued in MI

Practice address

42621 Garfield Rd Ste 108
Clinton TWP, MI 48038-5031

Phone

(586) 263-3312

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: astork623335@direct.hfhs.org

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1831627165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36030 KINGSLAND CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD STE 108",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "586-263-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Internal Medicine PLC
• Shannon Marie Stermer, DPT
• Jennifer Stevenson, DO
• Diann Stickney
• Laura E Stieber
• Julie Marie Straetmans
• Victoria Ann Strika, BEHAVIOR TECHNICIAN
• Andrell Sturdivant
• Leslie Styer, MA, LLP, CAADC
• Sonny Sullivan, PA-C

• Physician Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.