STACIE DIANE ADAMS (NPI# 1679869143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869143 |
| Entity Type | Individual |
| Full Name | STACIE DIANE ADAMS |
| Credential | MD |
| Practice Address |
4660 S Hagadorn Rd Ste 405 East Lansing MI 48823 |
| Mailing Address |
804 Service Rd Ste A109b East Lansing MI 48824-7015 |
| Practice Telephone | 5178848600 |
| Practice Fax Number | 5178848650 |
| Mailing Telephone | 5178848600 |
| Mailing Fax Number | 5178848650 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
4301098603 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301098603 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 Michigan St Ne Ste 3003, Grand Rapids, MI 495032528 | 6164869830 | 6164869831 |
| 4660 S Hagadorn Rd Ste 405, East Lansing, MI 488236819 | 5178848600 | 5178848650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891156618 | Stacie Adams | Counselor | 109 W Atkins St, Dobson, NC 27017 | 2016-03-08 |
| Street Address |
4660 S HAGADORN RD STE 405 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285266155 | Msu Health Care Inc | Pediatrics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1700418670 | Msu Health Care Inc | Allergy & Immunology | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1396377115 | Msu Health Care Inc. | Medical Genetics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1245527159 | Ryan G Thomas | Pediatrics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721850 | Timothy Moss | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2012-05-08 |
| 1497960397 | Allison Meredith Jay | Medical Genetics | 19229 Mack Ave Ste 18, Grosse Pointe Woods, MI 48236-2857 | 2007-05-14 |
| 1134133762 | Andrea Amalfitano | Medical Genetics | 1600 W Grand River Ste 2, Okemos, MI 48864 | 2006-07-28 |
| 1699712174 | Gerald L. Feldman | Medical Genetics | 3950 Beaubien St Fl 3, Children's Hospital of Michigan, Detroit, MI 48201-2120 | 2006-06-01 |
| 1912944919 | Erawati Vishwas Bawle | Medical Genetics | 3901 Beaubien Blvd, Children's Hospital of Michigan, Div of Genetics., Detroit, MI 48201-2061 | 2006-05-31 |
| 1750732590 | Stephanie Campbell | Medical Genetics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2016-06-22 |
| 1427411131 | Linda Zhong Rossetti | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2016-03-30 |
| 1609256064 | Elizabeth Grace Ames | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-06-01 |
| 1932519253 | Kristen Nicole Lee | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-08 |
| 1194067470 | Amanda Barone Pritchard | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-03-25 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.