Mark Stacherski (NPI# 1053389775, PAC ID# 7315925997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053389775 |
| PAC ID by PECOS | 7315925997 |
| Professional Enrollment ID | I20040709001216 |
| Full Name | Mark Stacherski |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Address |
37595 7 Mile Rd Suite 210 Livonia MI 48152-1003 |
| Phone Number | 2488242675 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648180406 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 | 2488242675 | ASCENSION MEDICAL GROUP MICHIGAN |
| Organization Legal Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Marie Cohen | Family Medicine | Ascension Medical Group Michigan | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 |
| Rose Natheer | Internal Medicine | Ascension Medical Group Michigan | 33464 Schoenherr Rd, Suite 160, Sterling Heights, MI 48312-6392 |
| Sapna S Gupta | Family Medicine | Ascension Medical Group Michigan | 26393 Dequindre Rd, Madison Heights, MI 48071-3821 |
| Jon W Mackey | Internal Medicine | Ascension Medical Group Michigan | 37771 Schoenherr Rd, Sterling Heights, MI 48312-2302 |
| Carlos A Ramirez Neyra | Maxillofacial Surgery | Ascension Medical Group Michigan | 11885 E 12 Mile, Suite 210, Warren, MI 48093-3467 |
| Anna F Boston | Nurse Practitioner | Ascension Medical Group Michigan | 42645 Garfield Rd, Clinton Twp, MI 48038-5022 |
| Peter Joseph Maceroni Jr. | Neurology | Ascension Medical Group Michigan | 955 Fred Moore Hwy, Ascension Medical Group Neurological Associates, St. Clair, MI 48079-4963 |
| Srikar T Reddy | Family Medicine | Ascension Medical Group Michigan | 51619 Ten Mile Rd, South Lyon, MI 48178-9720 |
| Basel A Brikho | Internal Medicine | Ascension Medical Group Michigan | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 |
| Nejla A Israel | Family Medicine | Ascension Medical Group Michigan | 15300 W 9 Mile Rd, 1 Oak Park Medical Center, Oak Park, MI 48237-2585 |
| Street Address |
37595 7 MILE RD SUITE 210 |
| City | LIVONIA |
| State | MI |
| Zip | 48152-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Ryan Wolok | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 340, Livonia, MI 48152-1003 |
| David Michael Smeenge | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 230, Livonia, MI 48152-1003 |
| Jacqueline G Appiah | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| David Saul Steinberger | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Ala S Shuker | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Neal A Mozen | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Matthew Larry German | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Michael Wowk | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 230, Livonia, MI 48152-1003 |
| Kelly Fitzgibbons | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Candace Atisha | Physician Assistant | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Gayla Zoghlin | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIVONIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Stacherski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.