DR. CHANTALE ESTHER BOTHUELL (NPI# 1457566341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457566341 |
| Entity Type | Individual |
| Full Name | DR. CHANTALE ESTHER BOTHUELL |
| Credential | D.P.M. |
| Practice Address |
2424 Fordham St Keego Harbor MI 48320-1412 |
| Practice Telephone | 3133847300 |
| Practice Fax Number | 2487474014 |
| Mailing Telephone | 3133847300 |
| Mailing Fax Number | 2487474014 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002140 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2265017 | 05 |
| Street Address |
2424 FORDHAM ST |
| City | KEEGO HARBOR |
| State | MI |
| Zip Code | 48320-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912229105 | Excel Footcare | Podiatrist | 2424 Fordham St, Keego Harbor, MI 48320-1412 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301158 | Suhila Cassini | Counselor | 3297 Orchard Lake Rd, Ste 107, Keego Harbor, MI 48320 | 2020-06-22 |
| 1619042777 | Julius James Sonkiss | Dentist | 3467 Orchard Lake Road, Keego Harbor, MI 48320 | 2006-11-22 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1669850830 | Kathryn Fawcett | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2015-05-08 |
| 1487843348 | Mariola Beata Vanderest | Physical Therapist | 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 | 2007-10-17 |
| 1396941332 | Issam S Asad | General Practice | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-06-26 |
| 1205050994 | Ahmad M Hadied | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1427272608 | Robert Bahman Khodadadeh | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1447336128 | Mark I Rosenberg Dds PC | Dentist | 2819 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-10-27 |
| 1609887769 | Lydia Geraldine Vitale-loeschner | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-08-11 |
| Find all providers in zip 48320 | ||||
| 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 |
|---|---|---|---|---|
| 1912229105 | Excel Footcare | Podiatrist | 2424 Fordham St, Keego Harbor, MI 48320-1412 | 2010-02-16 |
| 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 | ||||
| City | KEEGO HARBOR |
| Zip Code | 48320 |
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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.