MS. TAMMY MARIE NEELY (NPI# 1578867024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578867024 |
Entity Type | Individual |
Full Name | MS. TAMMY MARIE NEELY |
Credential | C. PED., COA |
Practice Address |
308 S Warren St Pinconning MI 48650-9428 |
Practice Telephone | 9897376689 |
Mailing Telephone | 9897376689 |
Enumeration Date | 2010-12-26 |
Last Update Date | 2010-12-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | CPED3150 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
308 S WARREN ST |
City | PINCONNING |
State | MI |
Zip Code | 48650-9428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528418217 | Casandra Finn | Dental Hygienist | 613 Jane St., Pinconning, MI 48650 | 2016-06-14 |
1215050091 | Michael D Parmer Do | Family Medicine | 4293 N Huron Road, Pineconning, MI 48650 | 2007-04-09 |
1083837736 | Brent J Raap Do PC | Family Medicine | 4293 N Huron Road, Pinconning, MI 48650 | 2007-04-11 |
1447335864 | Randy J O Laughlin Dds PC | Dentist | 224 S Manitou, Pinconning, MI 48650-0806 | 2006-10-25 |
1356777155 | Susan Kay Kruzell | Registered Nurse | 2080 N Huron Rd, Pinconning, MI 48650-7465 | 2013-09-25 |
1215341433 | Elizabeth Irene Dewyse | Contractor | 694 E Kitchen Rd, Pinconning, MI 48650-7486 | 2014-06-16 |
1851361034 | Thomas Joseph Trombley | Chiropractor | 1948 N Huron Rd, Pinconning, MI 48650-7909 | 2006-01-23 |
1255876900 | Bayshore Family Chiropractic | Chiropractor | 1948 N Huron Rd, Pinconning, MI 48650-7909 | 2017-01-04 |
1033580956 | Bayshore Family Chiropractic | Chiropractor | 1948 N Huron Rd, Pinconning, MI 48650-7909 | 2015-10-19 |
1346619616 | Carissa Meyers | Chiropractor | 1948 N Huron Rd, Pinconning, MI 48650-7909 | 2015-09-17 |
Find all providers in zip 48650 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
1447665682 | James Nicholas Brozovich | Pedorthist | 4646 John R St, Detroit, MI 48201-1916 | 2014-06-26 |
1609149616 | Daniel Waite | Pedorthist | 5152 Morrish Rd, Apt 60, Swartz Creek, MI 48473-1379 | 2012-02-22 |
1720384472 | Cobbler's Corner Foot Center | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-28 |
1417252800 | Ryan R Howser | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-17 |
City | PINCONNING |
Zip Code | 48650 |
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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.