DR. STEFANO MATTHEW MILITELLO (NPI# 1154558245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154558245 |
Entity Type | Individual |
Full Name | DR. STEFANO MATTHEW MILITELLO |
Credential | D.P.M. |
Practice Address |
17900 23 Mile Rd Ste 204 Macomb MI 48044-1161 |
Practice Telephone | 5869489417 |
Practice Fax Number | 5868463910 |
Mailing Telephone | 5869489417 |
Mailing Fax Number | 5868463910 |
Enumeration Date | 2009-06-16 |
Last Update Date | 2017-05-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901002316 | MI | Podiatric Medicine & Surgery Service Providers |
Street Address |
17900 23 MILE RD STE 204 |
City | MACOMB |
State | MI |
Zip Code | 48044-1161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124006333 | Massimiliano P Vitale | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2006-01-06 |
1679106736 | Rose Evelyn Starceski | Physical Therapist | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2020-02-18 |
1912414756 | Stephanie Lim | Nurse Practitioner | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2018-01-02 |
1851846257 | Premier Foot & Ankle Pllc | Podiatrist | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 | 2016-08-16 |
1487067260 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 401, Macomb, MI 48044-1161 | 2014-06-09 |
1295148070 | Seton Health Corporation of Southestern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2014-06-09 |
1033476767 | Ferah Adil Dalaly | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2012-04-19 |
1548579394 | Joseph Martin Samojedny IIi | Pharmacist | 17900 23 Mile Rd, Suite 104, Macomb, MI 48044-1161 | 2010-09-28 |
1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
1689839490 | Rachel Marie Vandenhemel | Physical Therapy Assistant | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2008-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
Find all providers in zip 48044 |
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 |
---|---|---|---|---|
1508850694 | Idol Ray Mitchell | Podiatrist | 437 East Grant Street, Macomb, IL 61455-3352 | 2005-09-06 |
1235122623 | Max Ronald Rexroat | Podiatrist | 437 E Grant St, Macomb, IL 61455 | 2005-08-31 |
1780192013 | Mcdonough County Hospital District | Podiatrist | 437 E Grant St, Macomb, IL 61455-3311 | 2018-01-22 |
1003987173 | Idol R Mitchell Dpm PC | Podiatrist | 437 East Grant Street, Macomb, IL 61455-3352 | 2006-11-12 |
1326127739 | Max R Rexroat, Dpm, Ltd | Podiatrist | 437 E Grant St, Macomb, IL 61455 | 2006-11-04 |
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 |
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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.