Organization Active NPI

Stacey B Schwartz DPM PLC

  • Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1902218233
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001867 Issued in MI
Legal business name
STACEY B SCHWARTZ DPM PLC
Practice address
32255 Northwestern Hwy Ste 195
Farmington Hills, MI 48334-1566
Phone
(248) 419-3550
Fax
(248) 419-3547
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Stacey Schwartz, DPMNPI 1487649562
Title
President
Phone
(248) 419-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001867 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 195
Farmington Hills, MI 48334-1566

Mailing address

32255 Northwestern Hwy
Ste 110
Farmington Hills, MI 48334-1566
Phone (248) 419-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140619001098 MI Part B Supplier - Clinic/Group Practice 0244454908 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington Hills, MI
O20240126002146 MI DME Supplier - Physician - Podiatry 0244454908 Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

32255 Northwestern Hwy
Ste 195
Farmington Hills, MI 48334
Phone (248) 419-3550

32255 Northwestern Hwy
Ste 110
Farmington Hills, MI 48334
Phone (248) 352-5920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1902218233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY",
            "address_2": "STE 110",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-419-3550",
            "fax_number": "248-419-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-419-3550",
            "fax_number": "248-419-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY B SCHWARTZ DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-419-3550",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.