AFFILIATED PODIATRIST, P.C. (NPI# 1194906479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194906479 |
| Entity Type | Organization |
| Organization Name | AFFILIATED PODIATRIST, P.C. |
| Practice Address |
35519 E Michigan Ave Wayne MI 48184-1682 |
| Practice Telephone | 7347210561 |
| Practice Fax Number | 7347217583 |
| Mailing Telephone | 7347210561 |
| Mailing Fax Number | 7347217583 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | ARTHUR BRUCE KELLERT (PODIATRIST) |
| Authorized Official Telephone | 7347210561 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | AK000685 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1074377 | 05 |
| Street Address |
35519 E MICHIGAN AVE |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| 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 |
|---|---|---|---|---|
| 1639515588 | Paul G Klein Dpm Pa | Podiatrist | 401 Hamburg Tpke Ste 110, 401 Hamburg Turnpike, Wayne, NJ 07470-2139 | 2013-05-20 |
| 1467795823 | Herbert David Janow | Podiatrist | 70 Rock Rd, Wayne, NJ 07470 | 2013-04-03 |
| 1528139375 | Steven Lopiano Dpm | Podiatrist | 87 Bobolink Ct, Wayne, NJ 07470-8450 | 2006-11-13 |
| 1992885446 | Paul D Cryan | Podiatrist | 295 Old Eagle School Rd, Wayne, PA 19087-2609 | 2006-10-17 |
| 1790715282 | Arthur B Kellert | Podiatrist | 35519 Michigan Ave, Wayne, MI 48184 | 2006-07-03 |
| 1104886225 | Paul Thomas Staunton | Podiatrist | 11 Windsor Pl, Wayne, NJ 07470 | 2006-03-23 |
| 1013904556 | Eugene M Smolens | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2005-09-30 |
| 1093339558 | Joshua Michael Carroll | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-06-01 |
| 1417579517 | Qanita S Ali | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-05-12 |
| 1184118838 | Tyler Wayne Claveau | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2018-06-17 |
| Find all providers in WAYNE | ||||
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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.