Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Stayton, MD

Individual provider Surgery Physician · NPI 1093146763

Jeremy Stayton, MD is a General Surgery in Iron Mountain, Michigan. Qualified in 2011, 15 years ago. Practices with Midwest Division - Lrhc LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
15
Licensed in
IL, MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1711 S Stephenson Ave Ste 305
Iron Mountain, MI 49801-3650
Phone: (906) 776-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301111518 (MI)
Surgery Physician Taxonomy 208600000X · Licence 125060385 (IL)

Record details

NPI number1093146763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2013
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Midwest Division - Lrhc Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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