Physician Compare National (NPI:1346222361)

HEALTHCARE PROVIDER: MARIJO STEENSTRA M.S.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346222361
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870657547
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090123000365
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEENSTRA
	Individual professional last name
Provider First Name	MARIJO
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ASCENSION MEDICAL GROUP PROMED
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7315856077
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	329
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1535 GULL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 250
	Group Practice or individual's line 2 address
City	KALAMAZOO
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	490481661
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6162265927
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230117
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BORGESS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y