COMMUNITY FOOT CENTER PC (NPI# 1144453770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144453770 |
| Entity Type | Organization |
| Organization Name | COMMUNITY FOOT CENTER PC |
| Practice Address |
31450 7 Mile Rd Livonia MI 48152-1374 |
| Mailing Address |
2997 E Highland Rd Highland MI 48356-2811 |
| Practice Telephone | 2484786363 |
| Practice Fax Number | 2484789779 |
| Mailing Telephone | 2488873729 |
| Mailing Fax Number | 2488898910 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | DR. GARY ALAN WASIAK (PRESIDENT) |
| Authorized Official Telephone | 2484786363 |
| 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 |
5901000651 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1062554 | 05 | |
| MI | BCBS | 5825393 | 01 |
| Street Address |
31450 7 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174735161 | David Jerome Smith | Dentist | 31450 7 Mile Rd, Suite 109, Livonia, MI 48152-1374 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578806253 | Bruce Kallou | Podiatrist | 37595 7 Mile Rd Ste 370, Livonia, MI 48152 | 2013-04-01 |
| 1447448337 | Joshua Sean Faley | Podiatrist | 14555 Levan Road, Suite E-302, Livonia, MI 48154 | 2007-10-04 |
| 1053399949 | Stacey Ann Stefansky | Podiatrist | 10986 Middlebelt Rd, Livonia, MI 48150-3058 | 2006-01-03 |
| 1366709636 | Matthew Larry German | Podiatrist | 37595 7 Mile Rd, Suite 370, Livonia, MI 48152-1003 | 2012-04-11 |
| 1336419670 | Ankle & Foot Care Specialists Pllc | Podiatrist | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2012-01-04 |
| 1942479654 | David A Friedman Dpm PC | Podiatrist | 37672 Professional Center Dr, Suite 150b, Livonia, MI 48154-1154 | 2008-02-27 |
| 1013185214 | Peter F Gregory | Podiatrist | 17316 Farmington Rd, Livonia, MI 48152-3158 | 2008-02-11 |
| 1891864971 | Livonia Foot Surgeons PC | Podiatrist | 28477 7 Mile Rd, Livonia, MI 48152-3501 | 2006-11-06 |
| 1487730305 | David A Friedman | Podiatrist | 37672 Professional Center Dr, 150 B, Livonia, MI 48154-1154 | 2006-10-31 |
| 1225035397 | Peter Paul Galea | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-07-05 |
| Find all providers in LIVONIA | ||||
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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.