MR. SHASHIKANT NAGLE (NPI# 1033181482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033181482 |
Entity Type | Individual |
Full Name | MR. SHASHIKANT NAGLE |
Credential | CP |
Practice Address |
21020 Kelly Rd Eastpointe MI 48021-3126 |
Mailing Address |
1803 Hallmark Dr Troy MI 48098-4354 |
Practice Telephone | 5867778090 |
Practice Fax Number | 5867779180 |
Mailing Telephone | 2488778090 |
Enumeration Date | 2006-02-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4186896 | 05 |
Street Address |
21020 KELLY RD |
City | EASTPOINTE |
State | MI |
Zip Code | 48021-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780683896 | Digital Foot Lab Usa, LLC | Prosthetic/Orthotic Supplier | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2005-07-20 |
1366937328 | In-motion Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2018-06-22 |
1538462585 | Able Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 21020 Kelly Rd, Eastpointe, MI 48021-3126 | 2010-12-14 |
1225341993 | George Walz | Orthotist | 21020 Kelly Rd, Eastpointe, MI 48021 | 2010-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
Find all providers in zip 48021 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295227692 | Angel May | Specialist/Technologist, Other | 3905 Brenton Ct Se, Grand Rapids, MI 49508-8948 | 2018-05-31 |
1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
1326599937 | Joel Bergwerff | Specialist/Technologist, Other | 2345 Riley St, Hudsonville, MI 49426-9678 | 2016-10-18 |
1093264715 | Brittany Adams | Specialist/Technologist, Other | 39749 Fox Valley Dr, Canton, MI 48188-1532 | 2016-09-22 |
1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
1427400969 | Diane Hines | Specialist/Technologist, Other | 17530 Strathmoor St, Detroit, MI 48235-2725 | 2016-07-08 |
1588016331 | Martez Williams | Specialist/Technologist, Other | 3631 Wayburn St, Detroit, MI 48224-3370 | 2016-07-05 |
1366893182 | Morgan Kaylee Gadowski | Specialist/Technologist, Other | 197 Lynn Ct, Imlay City, MI 48444-1240 | 2016-06-22 |
1124478318 | Katharine Elisabeth Seal | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2016-06-17 |
1700236247 | Tanya Patrick | Specialist/Technologist, Other | 2306 Mountain Ave, Flint, MI 48503-2298 | 2016-06-15 |
Find all providers with the same taxonomy |
City | EASTPOINTE |
Zip Code | 48021 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.