Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Marie Stair, PA-C

Individual provider Physician Assistant · NPI 1902494909

Ellen Marie Stair, PA-C is a Physician Assistant in Flint, Michigan. Qualified in 2020, 6 years ago. Practices with Premier Head and Neck Surgery PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

G4007 W Court St Ste B
Flint, MI 48532-3560
Phone: (810) 399-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 N Adelaide St Ste 100, Fenton, MI 48430-2670 — (810) 629-2245

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010295 (MI)

Record details

NPI number1902494909
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESFebruary 1, 2025
Certification dateFebruary 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Head And Neck Surgery Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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