STACIE CLARK (NPI# 1558756833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558756833 |
| Entity Type | Individual |
| Full Name | STACIE CLARK |
| Credential | M.D. |
| Practice Address |
6700 N Rochester Rd Ste 112 Rochester Hills MI 48306-4378 |
| Practice Telephone | 2486501510 |
| Mailing Telephone | 2486501510 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301117007 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770599292 | Stacie Clark | Physical Therapist | 2447 Mercer St, Stoneboro, PA 16153-2711 | 2006-08-01 |
| Street Address |
6700 N ROCHESTER RD STE 112 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48306-4378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
| Find all providers in zip 48306 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987127 | Arjun Dupati | Dermatology | 555 Barclay Cir Ste 170, Rochester Hills, MI 48307-4574 | 2014-06-12 |
| 1477634467 | Cynthia Chow, M.d., P.C. | Dermatology | 1419 Walton Blvd, Rochester Hills, MI 48309-1775 | 2006-10-18 |
| 1427158963 | Theodore Alfred Paul Golden | Dermatology | 181 Shagbark Dr, Rochester Hills, MI 48309-1816 | 2006-09-24 |
| 1699799809 | Roger C Byrd | Dermatology | 405 Barclay Cir, Rochester Hills, MI 48307-4573 | 2006-07-27 |
| 1295389294 | Dupati Group Pllc | Dermatology | 555 Barclay Cir Ste 170, Rochester Hills, MI 48307-4574 | 2019-07-29 |
| 1114192754 | Rochester Dermatology Clinic, P.C. | Dermatology | 405 Barclay Cir, Rochester Hills, MI 48307-4573 | 2008-04-24 |
| 1245254465 | Julie A Byrd | Dermatology | 405 Barclay Cir, Rochester Hills, MI 48307-4573 | 2006-07-27 |
| 1760417679 | Eva L Youshock | Dermatology | 6700 N Rochester Rd, Ste 212, Rochester Hills, MI 48306 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595616 | Diamond Dermatology, Pllc. | Dermatology | 3206 N Main St, Royal Oak, MI 48073-3424 | 2020-07-16 |
| 1477179174 | Alicia Scopis | Dermatology | 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 | 2020-06-18 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1770080939 | Emily Rose Davis | Dermatology | 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 | 2018-04-12 |
| 1245744242 | Maureen Cliffel Do Pllc | Dermatology | 26454 Woodward Ave Ste 200, Royal Oak, MI 48067-0969 | 2017-11-29 |
| 1306375365 | Lindsay Christina El Awadi | Dermatology | 50182 Schoenherr Rd, Shelby Twp, MI 48315-3136 | 2017-06-05 |
| 1396278099 | Sasank Konda | Dermatology | 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 | 2017-04-10 |
| 1790132439 | Saara Kanervikkoaho-crane | Dermatology | 1517 Granger Ave, Ann Arbor, MI 48104-4426 | 2016-05-23 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1679955041 | Luke D Killpack | Dermatology | 5333 Mcauley Dr Rm 5003, Ypsilanti, MI 48197-1020 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48306 |
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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.