Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760805352 Individual Practitioner Female Practitioner

Dr. Stephanie Grondahl , DO

General Practice • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Grondahl, DO is a registered healthcare professional specializing in General Practice in Lansing, MI. Practice services are available at 1200 E MICHIGAN AVE STE 460 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave Ste 460

Lansing, MI 489121897

Telephone 5173642097
Fax 5173643336
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.7 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Lansing, MI (445 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL UO3557

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

6500 38th Ave N

St Petersburg, FL 337101629

Phone: 7273841414

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Shannon Zaporski , RD

Dietitian, Registered

NPI 1205582640

Registered Dietitian

Rebecca Feldpausch , LMSW

Social Worker - Clinical

NPI 1710803796

Licensed Master Social Worker

Whitney Beam , FNP-C

Nurse Practitioner - Family

NPI 1932713294

Family Nurse Practitioner (Certified)

Benny Lopez

Physician Assistant

NPI 1952855777

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2017

Registered at 1200 E MICHIGAN AVE STE 460, LANSING, MI 489121897 (Tel: 5173642097)

📍
Updated Business Mailing Address August 21, 2017

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629

👤
Provider Name / Credentials Updated August 21, 2017

Recorded as STEPHANIE GRONDAHL, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

General Practice (License #UO3557 in FL)

NPI Profile Active February 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2014

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629 (Tel: 7273841414)

📍
Updated Business Mailing Address February 02, 2014

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629

👤
Provider Name / Credentials Updated February 02, 2014

Recorded as STEPHANIE JARNAGIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2014

General Practice (License #UO3557 in FL)

🟢
Initial NPI Registration & Enumeration February 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760805352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

6500 38th Ave N

St Petersburg, FL 337101629

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.