Gregory E Stephens, D.O.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

5101010374 Issued in MI

Practice address

18174 Meridian Rd
Grosse Ile, MI 48138-1088

Phone

(313) 282-5824

Fax

(000) 000-0000

NPI assigned

Aug 19, 2005

Last updated

Dec 20, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory E Stephens DO PC

  • Specialist
  • Grosse Ile, MI
  • NPI 1588835433
  Authorized official Same address or phone

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1962494526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18174 MERIDIAN RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381088",
            "telephone_number": "313-282-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18174 MERIDIAN RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381088",
            "telephone_number": "313-282-5824",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101010374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Silmi, RPH
• Laila Erika Smith, PHD
• Karen Lynn Snyder, RPH
• Troy Soncrant
• Star Infusion and Compression Therapies LLC
• Billie Jo Stopa, FNP
• Roberta R Synowiec, DC
• Sarah R Toboy
• Township of Grosse Ile (Grosse Ile Township Fire Department)
• Tricounty Nurses Plus,LLC

• Otolaryngology/Facial Plastic Surgery Physician in Grosse Ile, MI
• Providers in Grosse Ile, MI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.