Active NPI
Stephanie L. Linden, M.D.
- Family Medicine Physician
- Novi, MI
National Provider Identifier
1891762175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301071616
- Practice address
- 26850 Providence Pkwy
Suite 375
Novi, MI 48374-1213 - Phone
- (248) 662-4200
- Fax
- (248) 662-0368
- NPI assigned
- Mar 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301071616 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy
Suite 375
Novi, MI 48374-1213
Mailing address
26850 Providence Pkwy
Suite 375
Novi, MI 48374-1213
Phone (248) 662-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4619353 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301071616 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Family Medicine | Current | Accepting new patients |
Locations
33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675
37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282
26850 Providence Pkwy
Ste 375
Novi, MI 48374
Phone (248) 662-4200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1891762175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 375",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4200",
"fax_number": "248-662-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY",
"address_2": "SUITE 375",
"city": "NOVI",
"state": "MI",
"postal_code": "483741213",
"telephone_number": "248-662-4200",
"fax_number": "248-662-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEN",
"first_name": "STEPHANIE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-04",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301071616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4619353",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.