DR. SEBASTIAN A BENENATI (NPI# 1568475267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568475267 |
| Entity Type | Individual |
| Full Name | DR. SEBASTIAN A BENENATI |
| Credential | DPM |
| Practice Address |
25990 Kelly Road Suite 4 Roseville MI 48066 |
| Mailing Address |
25990 Kelly Rd 4 Roseville MI 48066 |
| Practice Telephone | 5867713550 |
| Practice Fax Number | 5867710953 |
| Mailing Telephone | 5867713550 |
| Mailing Fax Number | 5867710953 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SB001093 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2125480 | 05 |
| Street Address |
25990 KELLY ROAD SUITE 4 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1760787428 | William E Jarvis Dpm P C | Podiatrist | 19351 E 13 Mile Rd, Roseville, MI 48066-5308 | 2011-01-11 |
| 1356450274 | Neil Alan Van Dyck | Podiatrist | 311 Oak Ridge Dr, Suite 2, Roseville, CA 95661-3427 | 2006-08-30 |
| 1639162498 | Mitchell Ronald Mosher | Podiatrist | 1133 Smith Ln, Suite 5, Roseville, CA 95661-4103 | 2005-08-26 |
| 1215452065 | John Tran | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2017-08-12 |
| 1235438136 | Neil A Van Dyck, Dpm, Podiatry Corporation | Podiatrist | 1650 Lead Hill Blvd, # 100, Roseville, CA 95661-3061 | 2011-03-18 |
| 1912057712 | Arthur E. Jacikas Jr. | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-12 |
| 1871671545 | Randal M. Simin | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1659459311 | Geoffrey L. Gaggero | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1427136100 | Timothy R. Buell | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1184702854 | John Christopher Benson | Podiatrist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Find all providers in ROSEVILLE | ||||
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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.