STACY LYNN SMITH (NPI# 1093792186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093792186 |
| Entity Type | Individual |
| Full Name | STACY LYNN SMITH |
| Credential | MD |
| Practice Address |
37595 7 Mile Rd Suite 330 Livonia MI 48152-1003 |
| Mailing Address |
37595 7 Mile Rd Suite 230 Livonia MI 48152-1003 |
| Practice Telephone | 7345426115 |
| Practice Fax Number | 7345426116 |
| Mailing Telephone | 7344327581 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301055133 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4742802 | 05 | |
| MI | BCBSM GROUP NUMBER | 700E012300 | 01 |
| MI | RAILROAD PTAN | P00276787 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472428 | Stacy Renee Smith | Specialist/Technologist | 1708 Surrey Ct, Garland, TX 75043-1355 | 2020-03-20 |
| 1508338856 | Stacy Smith | Pediatrics | 5345 Fm 3 S, Marquez, TX 77865-4303 | 2018-12-27 |
| 1245612779 | Stacy G. Smith | Counselor | 24 Godwin Ave Ste 210, Midland Park, NJ 07432-1927 | 2015-06-21 |
| 1730583501 | Stacy Lynn Smith | Pharmacist | 1017 W Haul Rd, Page, AZ 86040-0656 | 2014-10-22 |
| 1881953214 | Stacy J Smith | Occupational Therapist | 10240 E Vicksburg St, Tucson, AZ 85748-3462 | 2012-05-04 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1306138235 | Stacy Victoria Smith | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2011-05-11 |
| 1871898858 | Stacy Smith | Counselor | 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | 2011-01-21 |
| 1740476514 | Stacy Ann Smith | Counselor | 4525 Draper Rd, Raleigh, NC 27616-5674 | 2007-09-14 |
| 1255532495 | Stacy M. Smith | Dietitian, Registered | 261 Parkway Dr Ne, Atlanta, GA 30312-1210 | 2007-05-29 |
| Street Address |
37595 7 MILE RD SUITE 330 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779512 | David J Clarke | Obstetrics & Gynecology | 37595 7 Mile Rd, Ste 480, Livonia, MI 48152-1003 | 2005-06-09 |
| 1255932463 | Hozefa Ezzi | Nurse Practitioner | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2020-11-04 |
| 1417584848 | Shori Scott Christian Gerardot | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2020-03-25 |
| 1245882448 | Muhammad Asad | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-07-09 |
| 1265093876 | Manikandan Seralathan | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| 1790346302 | Munis Mahboob Ahmed | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| 1235790858 | Gagneet Gill | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| 1831750454 | Dennis Peter Jacob | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| 1598326100 | Aishwarya Verma | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| 1588225197 | Syeda Ramsha Zaidi | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1548881410 | Casey Lynn Russell | Family Medicine | 39070 Allen St, Livonia, MI 48154-4745 | 2020-05-02 |
| 1063067692 | Medical Pain Relief Cam Center, PC | Family Medicine | 10535 Farmington Rd, Livonia, MI 48150-5732 | 2019-08-09 |
| 1518529932 | Abbyrahmy Paranthaman | Family Medicine | 36475 Five Mile Rd Ofc, Livonia, MI 48154-1971 | 2019-07-05 |
| 1346779915 | Samantha Cherise Wein | Family Medicine | 33523 8 Mile Rd Ste M2, Livonia, MI 48152-4119 | 2017-06-07 |
| 1144617564 | Syeeda Alam | Family Medicine | 39201 7 Mile Rd Rm 140, Livonia, MI 48152 | 2015-04-23 |
| 1578808481 | Healthy Urgent Care, Pllc | Family Medicine | 29531 Plymouth Rd, Livonia, MI 48150-2125 | 2012-12-04 |
| 1932493269 | David Karle M.d Pllc | Family Medicine | 31450 Seven Mile Rd, Suite 107, Livonia, MI 48152 | 2011-06-03 |
| 1366752826 | Calvin Chu Tran | Family Medicine | 37595 7 Mile Rd Ste 210, Livonia, MI 48152-1003 | 2010-10-18 |
| 1972830479 | Jeffrey D. Rosenbaum D.o., P.C. | Family Medicine | 28481 7 Mile Rd, Livonia, MI 48152-3501 | 2009-11-04 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.