STACY WAACK


Address: 23160 Halsted Rd Apt 123, Farmington Hills, MI 48335-3753
Phone: 2482404505

STACY WAACK (NPI# 1275909509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275909509
Entity Type Individual
Full Name STACY WAACK
Credential P.A.
Practice Address 23160 Halsted Rd Apt 123
Farmington Hills
MI 48335-3753
Practice Telephone 2482404505
Enumeration Date 2015-08-20
Last Update Date 2015-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601007537 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23160 HALSTED RD APT 123
City FARMINGTON HILLS
State MI
Zip Code 48335-3753

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093374928 Truth Home Healthcare Home Health 39248 Polo Club Dr. Apt 104, Farmington Hills, MI 48335 2019-06-13
1023677424 Ashly Cyriac Optometrist 21625 Green Hill Rd, Farmington Hills, MI 48335 2019-06-10
1326531419 Roslee Urey Sole Mbr Home Infusion 22934 Buckingham Dr., Farmington Hills, MI 48335 2018-06-13
1063920981 Pioneer Pharmacy Services LLC Pharmacy 24615-24617 Halsted Rd, Farmington Hills, MI 48335 2018-01-12
1548702764 Nimerdeep K Brar Dentist 35745 N Grandview Ct, #30101, Farmington Hills, MI 48335 2016-11-07
1225489784 Marc Peter Goulet Emergency Medicine 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335 2016-06-27
1649693284 Farmington Family Dental Pllc Dentist 34405 Grand River, Farmington, MI 48335 2014-02-03
1912283565 Silva Dilliwal Physical Therapist 24100 Drake Rd Suite B, Therapy Unlimited, Farmington, MI 48335 2011-10-27
1952554040 Aaron Michael Shepherd Psychologist 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 2008-11-03
1619155298 Ksa Consulting LLC Home Health 37000 Grand River Ave, Suite 370, Farmington Hills, MI 48335 2008-02-05
Find all providers in zip 48335

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891255998 Lucian I. Lupas Physician Assistant 21734 Albion Ave, Farmington Hills, MI 48336-5604 2019-03-23
1629455993 Stephen Cupp Physician Assistant 31235 Floralview Dr N Apt 205, Farmington Hills, MI 48331-5848 2015-05-06
1255739587 Daniel John Hurley Physician Assistant 31555 W 14 Mile Rd Ste 103, Farmington Hills, MI 48334-1286 2014-12-18
1104266758 Ashley Anne Geiger Physician Assistant 37000 Grand River Ave Ste 120, Farmington Hills, MI 48335-2868 2013-06-27
1780971408 Lindsay Mccracken Shunia Physician Assistant 30000 Northwestern Highway, Farmington Hills, MI 48334 2011-07-01
1932421252 Chaim L Sigler Physician Assistant 29476 Cove Creek Ln, Farmington Hills, MI 48334-2400 2010-03-01
1952379984 Tiffany Michelle Sakhleh Physician Assistant 27555 Middlebelt Road, Associates In Neurology, Pa-c, Farmington Hills, MI 48334 2006-03-08
1275522807 Toni L Malec Physician Assistant 28100 Grand River Ave Ste 206, Farmington Hills, MI 48336-5969 2005-10-17
1952961641 Anahit Movsesyan Physician Assistant 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335-2868 2019-06-16
1023582426 Ashley Grace Barnes Physician Assistant 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 2019-01-18
Find all providers in FARMINGTON HILLS

Competitor

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City FARMINGTON HILLS
Zip Code 48335

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Dataset Information

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.

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