STACIA MARIE PROEFROCK (NPI# 1760693865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760693865 |
| Entity Type | Individual |
| Full Name | STACIA MARIE PROEFROCK |
| Practice Address |
1611 Chandler Rd Ann Arbor MI 48105-1609 |
| Practice Telephone | 7348345392 |
| Practice Fax Number | 7346651568 |
| Mailing Telephone | 7348345392 |
| Mailing Fax Number | 7346651568 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| Street Address |
1611 CHANDLER RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042875 | Beth Suzanne Barbeau | Midwife | 5340 Plymouth Rd Ste 103, Ann Arbor, MI 48105-9557 | 2020-04-22 |
| 1922383355 | Jamie Eidsath | Midwife | 1545 Northbrook Dr, Ann Arbor, MI 48103-6193 | 2011-10-17 |
| 1033347661 | Sinead Carmel Licari | Midwife | 944 Lennox St, Ann Arbor, MI 48103-4530 | 2009-06-22 |
| 1164632238 | Adarsa Sing Antares | Midwife | 615 Barber Ave, Ann Arbor, MI 48103-2725 | 2007-05-23 |
| 1952309734 | Barbara L Burkardt | Midwife | 4200 Whitehall Dr, Ste 330, Ann Arbor, MI 48104-1142 | 2005-07-14 |
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1700445285 | Nichole Marie Hughes | Midwife | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-06-10 |
| 1194176909 | Nicole Sekulich | Midwife | 24 Frank Lloyd Wright Dr, Lobby J, Ann Arbor, MI 48105-9484 | 2016-06-23 |
| 1083001853 | Carly Koelsch | Midwife | 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694 | 2015-04-20 |
| 1295160083 | Amanda A Howell | Midwife | 722 Brooks St, Ann Arbor, MI 48103-3160 | 2013-09-11 |
| Find all providers in ANN ARBOR | ||||
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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.