PETER M WILUSZ DPM PC (NPI# 1083647739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083647739 |
Entity Type | Organization |
Organization Name | PETER M WILUSZ DPM PC |
Practice Address |
5730 Bella Rosa Blvd Ste 200 Clarkston MI 48348 |
Mailing Address |
5730 Bella Rosa Blvd Ste 200 Clarkston MI 48348-4774 |
Practice Telephone | 2489226000 |
Practice Fax Number | 2489225779 |
Mailing Telephone | 2489226000 |
Mailing Fax Number | 2489225779 |
Enumeration Date | 2006-07-08 |
Last Update Date | 2018-06-11 |
Authorized Official Name | DR. PETER M WILUSZ (PRESIDENT) |
Authorized Official Telephone | 2486728805 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002033 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GLHP | 162339 | 01 | |
MI | HAP | U93968 | 01 |
MI | OMNICARE | 71863 | 01 |
MI | UNITED HEALTHCARE | 00002528538 | 01 |
MI | MOLINA HEALTH CARE | QMXPR0030596 | 01 |
MI | CIGNA | 5790397 | 01 |
MI | AETNA | 7210519 | 01 |
MI | 4940030 TYPE 13 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851558787 | Peter M Wilusz Dpm PC | Podiatrist | 6510 Town Center Dr, Suite C, Clarkston, MI 48346-4822 | 2008-05-19 |
Street Address |
5730 BELLA ROSA BLVD STE 200 |
City | CLARKSTON |
State | MI |
Zip Code | 48348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083692925 | Peter Michael Wilusz | Podiatrist | 5730 Bella Rosa Blvd Ste 200, Clarkston, MI 48348 | 2005-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
Find all providers in zip 48348 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427404847 | Somers Foot & Ankle | Podiatrist | 6483 Citation Dr, Suite A, Clarkston, MI 48346-2994 | 2016-05-05 |
1841357530 | Jennifer Lynn Somers | Podiatrist | 6483 Citation Dr, Suite A, Clarkston, MI 48346-2994 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
Find all providers with the same taxonomy |
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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.