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Deactivated NPI 1629428636 Deactivated / Inactive NPI Male Practitioner

Stacey Williams

Technician, Other • Dearborn, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2016
NPI Deactivation Date April 05, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Stacey Williams was a registered Technician, Other practicing in Dearborn, MI. Throughout an active medical career spanning 7 years, Stacey Williams provided care at the practice location at 3231 S GULLEY RD until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

3231 S Gulley Rd
Suite E

Dearborn, MI 481244407

Telephone 3132782327
Associated Practice Facility / Clinic
🏢 Merakey Childrens Services Facility NPI 1447266275

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
241 Specialists

Practicing in Dearborn, MI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erica Mehrhof

Technician, Other

NPI 1003343658
Amir Huston

Technician, Other

NPI 1003473075
Sade Walker

Technician, Other

NPI 1023581733
Aaron Menezes

Technician, Other

NPI 1033627914
Stephanie Hankins , MA

Technician, Other

NPI 1033633318

Master of Arts

Redell Willis

Technician, Other

NPI 1043744956

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2016

Registered at 3231 S GULLEY RD, SUITE E, DEARBORN, MI 481244407 (Tel: 3132782327)

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Updated Business Mailing Address June 21, 2016

Registered at 620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 194441810

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Provider Name / Credentials Updated June 21, 2016

Recorded as STACEY WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Technician, Other

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Initial NPI Registration & Enumeration June 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629428636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2016
Last Update: June 21, 2016
Deactivation Date: April 05, 2023

Mailing Address

620 Germantown Pike

Lafayette Hill, PA 194441810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.