Stacy Michelle Emmert in Grand Rapids - Physician Assistant
Stacy Michelle Emmert - NPI 1417989195
Stacy Michelle Emmert is a Physician Assistant in Grand Rapids, Michigan. Stacy Michelle Emmert practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy Michelle Emmert is 1417989195. The last update date is 2023-01-03.
Stacy Michelle Emmert's current location address is 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6162678860. The mailing address for Stacy Michelle Emmert is 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Michelle Emmert |
|---|---|
| Address | 4100 Lake Dr Se Ste 300, Grand Rapids, Michigan |
| Phone Number | 6162678860 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417989195 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-01-03 |
Provider Mailing Address Detail
| Address | 4100 Lake Dr Se Ste 300 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468292 |
| Phone Number | 6162678860 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004258 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Stacy Michelle Emmert by the Centers for Medicare & Medicaid Services?
The Stacy Michelle Emmert has been assigned the NPI (National Provider Identifier) 1417989195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stacy Michelle Emmert's physical address?
The Stacy Michelle Emmert is physically located at 4100 Lake Dr Se Ste 300, in the city of Grand Rapids, MI, with the postal code 495468292.
What is Stacy Michelle Emmert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy Michelle Emmert is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417989195 to Stacy Michelle Emmert?
The Centers for Medicare & Medicaid Services assigned the 1417989195 to Stacy Michelle Emmert on 2006-07-06.
As of what date was the information regarding Stacy Michelle Emmert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy Michelle Emmert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-03.