VALERIE BASKERVILLE (NPI# 1518087204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518087204 |
Entity Type | Individual |
Full Name | VALERIE BASKERVILLE |
Credential | DPM |
Practice Address |
3310 W Big Beaver Rd Suite 137 Troy MI 48084-2809 |
Mailing Address |
21650 W 11 Mile Rd Ste 202 Southfield MI 48076-3777 |
Practice Telephone | 2487925200 |
Practice Fax Number | 2487124214 |
Mailing Telephone | 2487925200 |
Mailing Fax Number | 2487124214 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2017-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901001685 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3217423 | 05 | |
BCBSM | 0H21400 | 01 |
Street Address |
3310 W BIG BEAVER RD SUITE 137 |
City | TROY |
State | MI |
Zip Code | 48084-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104898667 | Maria Theresa Pacis Biederman | Internal Medicine | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2006-02-07 |
1518403153 | Karla Jordan | Nurse Practitioner | 3310 W Big Beaver Rd, Troy, MI 48084-2809 | 2017-01-06 |
1942745252 | Dana Christine Forman | Nurse Practitioner | 3310 W Big Beaver Rd, #137, Troy, MI 48084-2809 | 2016-12-21 |
1073058475 | Jordan Timothy Herbert | Nurse Practitioner | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084 | 2016-12-21 |
1477748432 | Fernando Eduardo Frontera | General Practice | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2007-09-12 |
1972710150 | Camille Rosenberg | Physician Assistant | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2007-05-17 |
1134287592 | Danielle Marie Schramm | Internal Medicine | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
Find all providers in zip 48084 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841283116 | Nasrin Oveys | Podiatrist | 36745 Dequindre Rd, Troy, MI 48083-2492 | 2005-08-23 |
1063416956 | Dan Steven Bailey | Podiatrist | 47 S Stanfield Rd, Troy, OH 45373-2307 | 2005-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
1831219542 | Foot and Ankle Group, P.C. | Podiatrist | 6533 E Jefferson Ave Apt 317, Detroit, MI 48207-4361 | 2007-03-29 |
1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
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.