STACEY PAGOREK (NPI# 1902308471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902308471 |
| Entity Type | Individual |
| Full Name | STACEY PAGOREK |
| Practice Address |
24 Frank Lloyd Wright Drive Lobby A - Medsport Ann Arbor MI 48106 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ann Arbor MI 48105-9484 |
| Practice Telephone | 7342329570 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24 FRANK LLOYD WRIGHT DRIVE LOBBY A - MEDSPORT |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1972005601 | Andie Michelle Stark | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 100, Ann Arbor, MI 48106 | 2018-03-08 |
| 1386150217 | Joyce Barretto Patterson | Dietitian, Registered | Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 | 2017-12-14 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1942505458 | Angela Nicole Bartley | Pathology | 5305 E. Huron River Drive, Ann Arbor, MI 48106 | 2011-01-13 |
| 1275866071 | Kellie Nicole Malewski | Social Worker | 5401 Mcauley Dr., Ann Arbor, MI 48106 | 2009-09-10 |
| Find all providers in zip 48106 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1811167356 | Michael Lee Houze | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9755 | 2008-03-11 |
| 1184754822 | Daryl R Montie | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9755 | 2007-03-06 |
| 1912059643 | Ernest Michael Muntean | Physical Therapist | 24 Frank Lloyd Wright Drive, Medsport - 391, Ann Arbor, MI 48106-0391 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770086217 | Michelle Duckett | Physical Therapist | 5722 Metro Way Sw, Wyoming, MI 49519-9524 | 2018-03-12 |
| 1245367473 | Brian J Adams | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2007-02-27 |
| 1972667780 | Stonebrooke Family Physicians | Physical Therapist | 2930 Crooks Rd, Rochester Hills, MI 48309-3609 | 2006-12-19 |
| 1508848318 | Mary Free Bed Rehabilitation, L.l.c | Physical Therapist | 1845 Livernois Rd, Troy, MI 48083-1731 | 2005-11-17 |
| 1487254561 | Eric Kinney | Physical Therapist | 46001 Grand River Ave, Novi, MI 48374-1319 | 2020-10-28 |
| 1679065379 | Wendy Joan Dufour | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-05-30 |
| 1457857005 | Daniel Wolocko | Physical Therapist | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-04-03 |
| 1720580327 | David Selak | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-02-28 |
| 1033610886 | Derek Chan | Physical Therapist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2018-02-27 |
| 1043553597 | Adams Sports Medicine & Physical Therapy, P.C. | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2013-04-03 |
| 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.