Active NPI
Stephanie D Markle, D.O
- Surgery Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101018440
- Practice address
- 1717 Shaffer St
Kalamazoo, MI 49048-1647 - Phone
- (269) 226-5456
- NPI assigned
- Aug 17, 2009
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Borgess Medical Center
- Kalkaska Memorial Health Center
- Munson Healthcare Cadillac Hospital
- Munson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS13119 | FL | MD | Surgery Physician |
| 5101018440 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalkaska Memorial Health Center | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Beacon Allegan Inc | Current | Accepting new patients | |
| Kalkaska Memorial Health Center | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Beacon Allegan Inc | Current | Accepting new patients | |
| Kalkaska Memorial Health Center | Surgery | Current | Accepting new patients |
| Munson Healthcare Manistee Hospital | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Surgery | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Grayling | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Surgery | Current | Accepting new patients |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Manistee Hospital | Surgery | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Beacon Allegan Inc | Current | 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
- 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.
-
dba Beacon Medical Group Michigan
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Surgery
-
dba Endocrinology and Metabolism
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
dba Munson Healthcare Cadillac Surgical Services
- Surgery Physician
- Cadillac, MI
- NPI 1336547041
-
dba Ascension Borgess Allegan Hospital Outpatient Clinic
- Multi-Specialty Clinic/Center
- Allegan, MI
- NPI 1144531252
-
dba Charlevoix Physician Specialists, Charlevoix Women's Healthcare
- Otolaryngology Physician
- Charlevoix, MI
- NPI 1629154307
Surgery
-
dba Roscommon Community Health Center
- Rural Health Clinic/Center
- Roscommon, MI
- NPI 1710383351
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.