DARRYL KOMPUS DPM PLLC (NPI# 1386783470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386783470 |
| Entity Type | Organization |
| Organization Name | DARRYL KOMPUS DPM PLLC |
| Practice Address |
15101 Ford Rd Dearborn MI 48126-4611 |
| Mailing Address |
18508 Devonshire Beverly Hills MI 48025 |
| Practice Telephone | 3135822796 |
| Mailing Telephone | 2486724655 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | DARRYL FRANCIS KOMPUS (PRESIDENT PODIATRIST) |
| Authorized Official Telephone | 2485402549 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001659 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 5820969 | 01 |
| MI | 4125602 | 05 |
| Street Address |
15101 FORD RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987348 | David Sengstock | Internal Medicine | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2006-01-20 |
| 1114536042 | Aman Mawri | Occupational Therapy Assistant | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2020-07-27 |
| 1619440997 | Devaraju Ramannagari | Physical Therapist | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2019-01-09 |
| 1427553635 | Nicole Mokanyk | Physical Medicine & Rehabilitation | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-28 |
| 1245732411 | Ling Vuong | Occupational Therapist | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-05 |
| 1760984926 | Nadine Abdullah | Physical Therapy Assistant | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-05 |
| 1528560752 | Mandra Studzinski | Physical Therapy Assistant | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-04 |
| 1063914216 | Jessica Toburen | Occupational Therapy Assistant | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-04 |
| 1326540550 | Erin Edwards | Occupational Therapy Assistant | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-03 |
| 1346742756 | Allison Marie Hinsman | Occupational Therapist | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
|---|---|---|---|---|
| 1063595064 | Dr Mayer Salama PC | Podiatrist | 2200 Monroe, Dearborn, MI 48124 | 2006-10-23 |
| 1790712974 | Thomas W Dickieson | Podiatrist | 1213 Mason, Dearborn, MI 48124 | 2006-06-26 |
| 1033182365 | Ali M. Safiedine | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2006-02-08 |
| 1174072763 | Alexander Thomas Dpm PC | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2016-09-24 |
| 1922464627 | Alexander Paul Thomas | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2016-01-11 |
| 1932579398 | Premier 1 Podiatry Pllc | Podiatrist | 24327 Ford Rd, Dearborn, MI 48128-1129 | 2015-09-29 |
| 1033449483 | Dr Ernest F Ajluni P C | Podiatrist | 4700 Greenfield Rd, Dearborn, MI 48126-4124 | 2010-01-07 |
| 1326283581 | Ali A Fadel Md, PC | Podiatrist | 13244 W Warren Ave, Suite 1, Dearborn, MI 48126-1415 | 2008-12-02 |
| 1245416445 | Midwesthealth Center PC | Podiatrist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2008-01-17 |
| 1144422916 | Michigan Foot & Ankle Specialists | Podiatrist | 7243 Chase Rd, Dearborn, MI 48126-1301 | 2007-06-04 |
| Find all providers in DEARBORN | ||||
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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.