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

Steven Robert Mogridge, PAC

Individual provider Physician Assistant · NPI 1518355437

Steven Robert Mogridge, PAC is a Physician Assistant in Grand Rapids, Michigan. Qualified in 1992, 34 years ago. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2014
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

426 Michigan St NE
Grand Rapids, MI 49503-5609
Phone: (616) 391-4950
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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 5601002141 (MI)

Record details

NPI number1518355437
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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