NPIMap

Individual provider Active NPI

Stacy Zwick Ker, DO

  • Nephrology Physician
  • Livonia, MI
National Provider Identifier
1841404217
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101016934 Issued in MI
Practice address
18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(248) 478-1500
NPI assigned
May 9, 2007
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016934 MI
Nephrology Physician 207RN0300X 5101016934 MI Primary

Addresses

Primary practice location

18302 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 478-1500

Other names 1

  • Stacy Laura Zwick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000750 MI Practitioner - NephrologyPractitioner - Internal Medicine 3678742442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension Nephrology Associates PCGroup PAC ID 3274506092, 13 clinicians
Riverview Lifeline Center PLLCGroup PAC ID 3870695232, 4 clinicians

Practice addresses (Care Compare)

18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 478-1500

7633 E Jefferson Ave
Suite 330
Detroit, MI 48214-3732
Phone (313) 823-5338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension Nephrology Associates PC Nephrology CurrentSince Jul 25, 2011 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
Riverview Lifeline Center PLLC CurrentSince Jan 1, 2012 Accepting new patients
Sciometrix LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

2038 Reliable Pkwy
Chicago, IL 60686

5250 Auto Club Dr
Ste 100
Dearborn, MI 48126
Phone (248) 478-1500

7633 E Jefferson Ave
Ste 180
Detroit, MI 48214
Phone (248) 478-1500

7633 E Jefferson Ave
Ste 330
Detroit, MI 48214
Phone (313) 823-5338

18302 Middlebelt Rd
Livonia, MI 48152
Phone (248) 478-1500

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

15565 Northland Dr W
Ste 700
Southfield, MI 48075

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

14061 E 13 Mile Rd
Ste 3
Warren, MI 48088
Phone (248) 478-1500

Interoperability endpoints

  • Direct secure messaging: sker@direct.dmc.org
  • Direct secure messaging: sker61264@direct.hfhs.org
  • Direct secure messaging: stacy.ker.p23@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: stacyker.hypertensionnephrologyassociates@135190.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1841404217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-478-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-478-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KER",
        "first_name": "STACY",
        "middle_name": "ZWICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016934",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101016934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ZWICK",
            "middle_name": "LAURA",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.