DR RICHARD L GRANT P L C (NPI# 1184837890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184837890 |
| Entity Type | Organization |
| Organization Name | DR RICHARD L GRANT P L C |
| Practice Address |
27901 Woodward Ave Suite 110 Berkley MI 48072-0919 |
| Mailing Address |
581 Fox Pointe Ct Bloomfield Hills MI 48304-1813 |
| Practice Telephone | 2485450100 |
| Practice Fax Number | 2485451285 |
| Mailing Telephone | 2483349162 |
| Mailing Fax Number | 2483342114 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | DR. RICHARD L GRANT (PODIATRIST) |
| Authorized Official Telephone | 2485450100 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901000735 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 4856353590 | 01 |
| MI | 4418408 | 05 |
| Street Address |
27901 WOODWARD AVE SUITE 110 |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-0919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015191 | Jeffrey C Kalt | Ophthalmology | 27901 Woodward Ave, Ste 200, Berkley, MI 48072 | 2005-12-30 |
| 1508239104 | Abdulgadir Adam Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-11-04 |
| 1316319262 | Sanjay Dogra Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-10-30 |
| 1689075020 | Chanta L. Stanley | Registered Nurse | 27901 Woodward Ave, 300, Berkley, MI 48072-0919 | 2014-09-04 |
| 1093083743 | Lauren Elissa Taboh | Registered Nurse | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2011-12-08 |
| 1487936456 | Tanya S Postwaite | Physician Assistant | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2011-09-15 |
| 1457539116 | Barak Tanzman | Surgery | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0919 | 2008-02-05 |
| 1790981413 | Chau Plastic Surgery PC | Plastic Surgery | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0919 | 2007-06-21 |
| 1982818738 | David M Nori | Internal Medicine | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2007-05-10 |
| 1033238936 | Kenneth Jackson | Physician Assistant | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| 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 |
|---|---|---|---|---|
| 1497827398 | Family Foot Care Center PC | Podiatrist | 1695 12 Mile Rd Ste 220, Berkley, MI 48072-2100 | 2006-11-15 |
| 1871511220 | Michigan Foot and Ankle Center P.C. | Podiatrist | 1949 12 Mile Rd, Suite 200, Berkley, MI 48072-1853 | 2006-07-17 |
| 1659460863 | Foot and Ankle Specialists of Michigan Pllc | Podiatrist | 27901 Woodward Ave, Suite 110, Berkley, MI 48072-0919 | 2006-10-12 |
| 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.