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

Mrs. Stephanie Spaniolo, PA-C

Individual provider Medical Physician Assistant · NPI 1104362383

Mrs. Stephanie Spaniolo, PA-C is a Physician Assistant in Royal Oak, Michigan. Qualified in 2016, 10 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Michigan.

Years since qualifying
10
Licensed in
MA, MI
In the registry since
2017
Specialties on file
3
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

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-0898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008053 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601008053 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA6066 (MA)

Record details

NPI number1104362383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2017
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Royal Oak