STACEY STEFANSKY DPM PLLC (NPI# 1194964452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194964452 |
Entity Type | Organization |
Organization Name | STACEY STEFANSKY DPM PLLC |
Practice Address |
2130 Marshall Court Waterford MI 48329-4069 |
Mailing Address |
Po Box 300965 Drayton Plains MI 48330-0965 |
Practice Telephone | 2483905730 |
Mailing Telephone | 2483905730 |
Enumeration Date | 2009-02-10 |
Last Update Date | 2019-07-23 |
Authorized Official Name | STACEY STEFANSKY (OWNER) |
Authorized Official Telephone | 2483905730 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
5901002115 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 4856320100 | 01 |
MI | 1053399949 | 05 |
Street Address |
2130 MARSHALL COURT |
City | WATERFORD |
State | MI |
Zip Code | 48329-4069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
Find all providers in zip 48329 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245849009 | Southern Michigan Foot & Ankle, Plc | Clinic/Center | 14167 C B Macdonald Way, Vicksburg, MI 49097-8397 | 2020-07-28 |
1982229159 | Jeri Berkowitz Pllc | Clinic/Center | 7001 Orchard Lake Rd Ste 230b, West Bloomfield, MI 48322-3659 | 2020-06-12 |
1871965954 | Pardee Foot Clinic | Clinic/Center | 9029 Pardee Rd, Taylor, MI 48180-2755 | 2015-10-28 |
1386814978 | Jess Kraft Dpm PC | Clinic/Center | 27920 Arlington Dr, Southfield, MI 48076-5605 | 2008-03-10 |
1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
1154391985 | Southgate Foot and Ankle Center Pllc | Clinic/Center | 14535 Northline Rd., Southgate, MI 48195-2446 | 2006-01-24 |
1992363097 | Matthew D Andrews Dpm PC | Clinic/Center | 1221 S Ortonville Rd Bldg B, Ortonville, MI 48462-8676 | 2019-06-03 |
1063077998 | Kevin Garfield Dpm PC | Clinic/Center | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2019-05-06 |
1467953422 | Right Step Podiatry Care Pllc | Clinic/Center | 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 | 2018-02-26 |
1003341520 | Balanced Podiatry Care | Clinic/Center | 2914 Southlawn St, Ypsilanti, MI 48197-1986 | 2017-04-21 |
Find all providers with the same taxonomy |
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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.