DR. STACEY LYNNE MILLER (NPI# 1710982434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982434 |
| Entity Type | Individual |
| Full Name | DR. STACEY LYNNE MILLER |
| Credential | DPM |
| Practice Address |
44250 Garfield Rd Ste 160 Clinton Township MI 48038-1150 |
| Practice Telephone | 5862282255 |
| Practice Fax Number | 5862282740 |
| Mailing Telephone | 5862282255 |
| Mailing Fax Number | 5862282740 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SM001761 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | 4855050800 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 104531 | 01 |
| MI | PREFERRED/CARE CHOICES | 126745 | 01 |
| MI | 4616763 | 05 | |
| MI | BLUE CARE NETWORK | 4855050800 | 01 |
| MI | HEALTH ALLIANCE PLAN | U71952 | 01 |
| MI | MOLINA | 4616763 | 01 |
| MI | WELLNESS | 10113130003 | 01 |
| MI | AETNA | 7538001 | 01 |
| MI | CIGNA | 9102424001 | 01 |
| MI | RAILROAD MEDICARE | P00140080 | 01 |
| MI | MCARE | 17303 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533415 | Stacey Michelle Miller | Social Worker | 6328 Sw 42nd Cir, Topeka, KS 66610-1677 | 2020-03-16 |
| 1881933232 | Stacey B Miller | Physical Therapist | 15115 Nw 8th St, Pembroke Pines, FL 33028-1857 | 2013-02-05 |
| 1184894917 | Stacey T Miller | Occupational Therapist | 866 College Pkwy, Apt 201, Rockville, MD 20850-1940 | 2008-03-07 |
| 1932719101 | Stacey L Miller | Nurse Practitioner | 1019 E Water St, Elmira, NY 14901-3332 | 2020-08-03 |
| 1992189815 | Stacey Barron Miller | Pathology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2015-07-10 |
| 1124423249 | Stacey Miller | Speech-Language Pathologist | 236 2nd Ave, New York, NY 10003-2704 | 2014-10-31 |
| 1750724829 | Stacey Nicole Miller | Home Health Aide | 901 1st St Nw, Washington, DC 20001-1403 | 2013-04-09 |
| 1033476213 | Stacey Harrelson Miller | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2012-04-12 |
| 1942574827 | Stacey Miller | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2012-02-24 |
| 1285867663 | Stacey Miller | Speech-Language Pathologist | 325 W 86th St, Apt 10c, New York, NY 10024-3120 | 2009-09-01 |
| Street Address |
44250 GARFIELD RD STE 160 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043316 | Edmund Joseph Kowalchick Jr. | Podiatrist | 44250 Garfield Rd, Ste 160, Clinton Township, MI 48038-1150 | 2005-06-16 |
| 1427083492 | Michigan Foot & Ankle Institute PC | Podiatrist | 44250 Garfield Rd, Suite 160, Clinton Township, MI 48038-7421 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891891198 | David Charles Reppenhagen | Podiatrist | 39769 Garfield Rd, Clinton Township, MI 48038-2799 | 2006-09-15 |
| 1861508830 | William Eugene Jarvis | Podiatrist | 36325 Harper Ave, Clinton Township, MI 48035-2958 | 2006-08-22 |
| 1598794489 | Joyce E Patouhas | Podiatrist | 39090 Garfield Rd Ste 108, Clinton Township, MI 48038-4093 | 2006-07-02 |
| 1053317479 | Thomas Carl Hosey | Podiatrist | 42550 Garfield Rd, Ste 103, Clinton Township, MI 48038-1644 | 2005-06-21 |
| 1326043316 | Edmund Joseph Kowalchick Jr. | Podiatrist | 44250 Garfield Rd, Ste 160, Clinton Township, MI 48038-1150 | 2005-06-16 |
| 1386916351 | Karen Potchynok, D.p.m., P.C. | Podiatrist | 18645 Canal Rd, Suite 5, Clinton Township, MI 48038-5822 | 2012-02-06 |
| 1215034871 | Karen Marie Potchynok-lund | Podiatrist | 18645 Canal Rd, Suite 5, Clinton Township, MI 48038-5822 | 2006-09-17 |
| 1427083492 | Michigan Foot & Ankle Institute PC | Podiatrist | 44250 Garfield Rd, Suite 160, Clinton Township, MI 48038-7421 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.