Individual provider Active NPI

Stephanie D Markle, D.O

  • Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1992937403
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101018440 Issued in MI
Practice address
1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone
(269) 226-5456
NPI assigned
Aug 17, 2009
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS13119 FL
Surgical Critical Care Physician 2086S0102X 5101018440 MI
Surgery Physician 208600000X 5101018440 MI Primary

Addresses

Primary practice location

1717 Shaffer St
Kalamazoo, MI 49048-1647

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Other practice location 1

927 S Carmel St
Cadillac, MI 49601-2547
Phone (231) 876-3876

Other practice location 2

14695 Park Ave Ste A
Charlevoix, MI 49720-1920
Phone (231) 547-2812

Other practice location 3

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

Other practice location 4

1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 398-1740

Other practice location 5

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 935-2400

Other practice location 6

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other practice location 7

829 N Center Ave Ste 120
Gaylord, MI 49735-1598
Phone (989) 731-7987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20150529000468 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9931326196 Reassigns benefits to 1 organization
I20160818000182 MI Practitioner - General Surgery 9931326196 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

1221 6TH St
Suite 306
Traverse City, MI 49684-2361
Phone (231) 935-2400

1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone (269) 226-5290

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

927 S Carmel St
Cadillac, MI 49601-2547
Phone (231) 876-3876

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13119FLMDSurgery Physician
5101018440MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Surgery Current Accepting new patients
Florida Clinical Practice Association Inc Surgery CurrentSince Jul 1, 2015 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince Aug 28, 2023 Accepting new patients
Beacon Allegan Inc CurrentSince Aug 1, 2021 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Aug 8, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 28, 2023 Accepting new patients
Beacon Allegan Inc Current Accepting new patients
Kalkaska Memorial Health Center Surgery CurrentSince Aug 8, 2023 Accepting new patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Promed Healthcare CurrentSince Aug 14, 2016 Accepting new patients
Beacon Medical Group Michigan Inc Surgery Current Accepting new patients
Munson Medical Center CurrentSince Aug 8, 2023 Accepting new patients
Munson Healthcare Grayling Surgery CurrentSince Aug 28, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2015 Accepting new patients
Munson Healthcare Charlevoix Hospital Surgery Current Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Aug 14, 2016 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 28, 2023 Accepting new patients
Munson Healthcare Manistee Hospital Surgery CurrentSince Aug 28, 2023 Accepting new patients
Munson Medical Center CurrentSince Aug 8, 2023 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Aug 28, 2023 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Aug 28, 2023 Accepting new patients
Beacon Allegan Inc CurrentSince Aug 1, 2021 Accepting new patients
Beacon Kalamazoo Inc Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3781 Momentum Pl
Chicago, IL 60689

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

551 Linn St
Ste 250
Allegan, MI 49010

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14695 Park Ave
Ste A
Charlevoix, MI 49720
Phone (231) 547-2812

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640

1221 Sixth St
Ste 306
Traverse City, MI 49684
Phone (231) 935-2400

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 27

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 27

Hospital & facility affiliations 5

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1992937403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016",
            "telephone_number": "269-552-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 S Carmel St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012547",
            "country_code": "US",
            "telephone_number": "231-876-3876",
            "fax_number": "231-776-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14695 Park Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201920",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "fax_number": "231-392-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "fax_number": "231-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609318",
            "country_code": "US",
            "telephone_number": "231-398-1740",
            "fax_number": "231-398-1749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842360",
            "country_code": "US",
            "telephone_number": "231-935-2400",
            "fax_number": "231-935-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "fax_number": "989-344-5725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7987",
            "fax_number": "989-731-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS13119",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "5101018440",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.