STEPHEN FEDELE DO NPI 1033171699

NPI Information

  • NPI: 1033171699
  • Provider Name: STEPHEN FEDELE, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 105 N 20TH ST
    20TH ST CLINIC PC
    BATTLE CREEK, MI
    ZIP 49015
  • Phone: (269) 969-6010

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NPI Details

Stephen Fedele, DO is a family medicine in Battle Creek, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Stephen Fedele, DO NPI is 1033171699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 N 20TH ST
20TH ST CLINIC PC
BATTLE CREEK, MI
ZIP 49015
Phone: (269) 969-6010
Fax: (269) 964-8422

The enumeration date for this NPI number is 4/6/2006 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101004673MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N44830001MEDICARE PINMICHIGAN
2E26731MEDICARE UPIN
35130499OTHERMICHIGANMCR ADVANTAGE
4CJ8333OTHERMICHIGANRR MCR
5ON4483MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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