JOHN NIEMELA (NPI# 1114097474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097474 |
| Entity Type | Organization |
| Organization Name | JOHN NIEMELA |
| Practice Address |
1015 N 3rd St Suite #6 Marquette MI 49855-3500 |
| Mailing Address |
1015 N 3rd Street Ste 6 Marquette MI 49855-3500 |
| Practice Telephone | 9062250181 |
| Practice Fax Number | 9062250340 |
| Mailing Telephone | 9062250181 |
| Mailing Fax Number | 9062250340 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | JOHN D NIEMELA (PHYSICIAN OWNER) |
| Authorized Official Telephone | 9062250181 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 5901002208 | MI | Suppliers |
| Y | 213E00000X | Podiatrist | 5901002208 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UPPER PENINSULA HLTH PLAN | 4882948 | 01 |
| MI | RAILROAD MEDICARE | P00314266 | 01 |
| MI | BCBSM | 4855201230 | 01 |
| MI | 134882948 | 05 | |
| MI | BCBSM ORTHOTIST | 510E210880 | 01 |
| MI | US DEPARTMENT OF LABOR | 611477200 | 01 |
| MI | LICENSE | 5901002208 | 01 |
| Street Address |
1015 N 3RD ST SUITE #6 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194019182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 1015 N 3rd St, Marquette, MI 49855-3500 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215085790 | Conway T Mclean | Podiatrist | 700 W Washington St Ste B, Marquette, MI 49855-4164 | 2007-01-08 |
| 1184620908 | Kendall P. Tabor | Podiatrist | 1414 W Fair Ave, Ste 215, Marquette, MI 49855-2675 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| 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.