MR. SHASHIKANT NAGLE


Address: 21020 Kelly Rd, Eastpointe, MI 48021-3126
Phone: 5867778090

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4186896 05

Office Location

Street Address 21020 KELLY RD
City EASTPOINTE
State MI
Zip Code 48021-3126

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and state

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
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Competitor

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City EASTPOINTE
Zip Code 48021

Improve Information

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Dataset Information

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.

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