Stephanie Olivia Spitery, PA-C
Physician Assistant in New Hudson, MI. Individual provider (NPI-1).
NPI number1356944490
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1356944490
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Olivia Spitery
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010176 | MI | Yes |
Practice location
30488 Milford RdNew Hudson, MI 48165-8583
Phone 248-437-4625
Mailing address
8772 Eaton RdDavisburg, MI 48350-1508
Phone 248-303-2264
Other practice locations
8772 Eaton Rd
Davisburg, MI 48350-1508
Davisburg, MI 48350-1508
Phone 248-303-2264
7125 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-3616
West Bloomfield, MI 48322-3616
Phone 248-865-7481
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in New Hudson, MI
- Suyin Ballard, PA-CNPI 1134018955
- Emily P Dennis, PA-CNPI 1447933031
- Mia Kochanek, PA-CNPI 1154205961
- Tamara Ostin, PANPI 1184070930
All 5 Physician Assistant providers in New Hudson · All 89 providers in New Hudson
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