Stephanie D Markle, D.O
Individual provider Active NPI Surgery Physician · Kalamazoo, MI
NPI 1992937403 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1992937403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 5101018440 (MI)
- Practice address
- 1717 Shaffer St
Kalamazoo, MI 49048-1647 - Phone
- (269) 226-5456
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 45
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Medical Center
Ascension Medical Group Promed
Kalkaska Memorial Health Center
Munson Healthcare Cadillac
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000468 | FL | Practitioner - Critical Care (Intensivists) |
9931326196 | Reassigns benefits to 1 organization |
| I20160818000182 | MI | Practitioner - General Surgery | 9931326196 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Surgery | Current | Accepting new patients |
| Ascension Medical Group Promed | Surgery | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Surgery | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Ascension Borgess Allegan Hospital | Current |
Accepting new patients | |
| Munson Healthcare Manistee Hospital | Current | Accepting new patients | |
| Munson Healthcare Manistee Hospital | Surgery | Current |
Accepting new patients |
| Florida Clinical Practice Association Inc | Surgery | Current |
Accepting new patients |
| Ascension Borgess Allegan Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Ascension Borgess Allegan Hospital | Current |
Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Promed Healthcare | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Surgery | Current |
Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Grayling | Surgery | Current |
Accepting new patients |
| Munson Healthcare Grayling | Current |
Accepting new patients | |
| Ascension Borgess Hospital | Past | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
3781 Momentum Pl
Chicago, IL 60689
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
555 Linn St
Allegan, MI 49010
Phone (269) 673-8424
551 Linn St
Ste 250
Allegan, MI 49010
551 Linn St
Allegan, MI 49010
Phone (269) 686-5800
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
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800
5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836
1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050
1717 Shaffer St
Ste 002
Kalamazoo, MI 49048
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1221 Sixth St
Ste 306
Traverse City, MI 49684
Phone (231) 935-2400
1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640
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/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS13119 | FL | |
| Surgical Critical Care Physician | 2086S0102X | 5101018440 | MI | |
| Surgery Physician | 208600000X | 5101018440 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014766800 | Medicaid | FL |
Other providers in Kalamazoo, MI
- Olivia Grace Marick
- Emma Elisabeth Marinelli
- Mark a Scheffers LMSW PLLC
- Mark a. Allen, DDS, PC
- Kristeen Markan
- Donald W Markley
- Kristin Markoff
- Laura Marlatt
- Rosemary Ann Marlatt
- Rachel Kathryn Marquardt-Gray
All providers in Kalamazoo, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.