1669482766 NPI number — DR. STEVEN RICHARD PAPP D.O.

Table of content: (NPI 1194895151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669482766 NPI number — DR. STEVEN RICHARD PAPP D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAPP
Provider First Name:
STEVEN
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669482766
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3231 WEST RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRENTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48183-2399
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-675-8113
Provider Business Mailing Address Fax Number:
734-675-4167

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3231 WEST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48183-2399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-675-8113
Provider Business Practice Location Address Fax Number:
734-675-4167
Provider Enumeration Date:
08/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  SP011304 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5270537 . This is a "AETNA PPO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: G58858 . This is a "HAP HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: G58858 . This is a "HAP PPO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 3405675 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5270537 . This is a "AETNA HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5820491 . This is a "BCBS PREFERRED PPO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5820491 . This is a "BCBS COMMUNITY BLUE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 004301068616 . This is a "CAPE HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 383369470 . This is a "HARRINGTON/OSH CARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5820491 . This is a "BCBS REGULAR BUS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 125257 . This is a "CARE CHOICES HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: P63214 . This is a "BLUE CHOICE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 125257 . This is a "PREFERRED CHOICES" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: C6514 . This is a "M CARE HMO" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: P63214 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 340015119 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5820491 . This is a "BCBS BLUE PREFERRED PLUS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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