Individual provider Active NPI

Stephen Joseph Smalley, M.D.

  • Cardiovascular Disease Physician
  • Ashland, WI
National Provider Identifier
1992787717
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37768-20 Issued in WI
Practice address
1615 Maple LN Ste 1
Ashland, WI 54806-3630
Phone
(715) 685-7500
Fax
(651) 254-1603
NPI assigned
Nov 17, 2005
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 49050 MN
Cardiovascular Disease Physician 207RC0000X 37768-20 WI Primary

Addresses

Primary practice location

1615 Maple LN Ste 1
Ashland, WI 54806-3630

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20060731000480 MN Practitioner - Cardiovascular Disease (Cardiology) 5496768806 Reassigns benefits to 2 organizations
I20070320000041 WI Practitioner - Cardiovascular Disease (Cardiology) 5496768806 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, shared by 25 NPIs, 1,135 clinicians
St Marys Medical CenterGroup PAC ID 6901706357, 91 clinicians
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

1615 Maple LN
Suite 1
Ashland, WI 54806-3630
Phone (715) 685-7500

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-3443

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49050MNMDCardiovascular Disease Physician
37768-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Apr 1, 2008 Accepting new patients
St. Croix Regional Medical Center CurrentSince Apr 1, 2008 Accepting new patients
St Mary's Hospital of Superior CurrentSince Oct 11, 2021 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Oct 1, 2009 Accepting new patients
St. Mary's Duluth Clinic Health System Current Accepting new patients
Group Health, Inc. CurrentSince Jan 1, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Oct 11, 2021 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 11, 2021 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 11, 2021 Accepting new patients
St Marys Medical Center Current Accepting new patients
Westfields Hospital, Inc CurrentSince May 1, 2009 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Oct 11, 2021 Accepting new patients
Group Health, Inc. Current Accepting new patients
St. Mary's Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Oct 1, 2009 Accepting new patients
Westfields Hospital, Inc. CurrentSince May 1, 2009 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

640 Jackson St
#11102M
Saint Paul, MN 55101
Phone (651) 254-4887

1500 Curve Crest Blvd W
Stillwater, MN 55082

921 Greeley St S
Stillwater, MN 55082

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1615 Maple Ln
Ste 1
Ashland, WI 54806
Phone (715) 685-7500

11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505

15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641

411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

1180 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2151

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1992787717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LN STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063630",
            "telephone_number": "715-685-7500",
            "fax_number": "651-254-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "49050",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "37768-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.