DR. PAUL JAMES CONSTANTINO (NPI# 1598161564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598161564 |
Entity Type | Individual |
Full Name | DR. PAUL JAMES CONSTANTINO |
Credential | D.P.M. |
Practice Address |
26850 Providence Pkwy Suite 502 Novi MI 48374-1213 |
Mailing Address |
37595 Seven Mile Road Suite 370 Livonia MI 48152 |
Practice Telephone | 2482580001 |
Mailing Telephone | 2482580001 |
Enumeration Date | 2014-11-18 |
Last Update Date | 2016-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002554 | MI | Podiatric Medicine & Surgery Service Providers |
Street Address |
26850 PROVIDENCE PKWY SUITE 502 |
City | NOVI |
State | MI |
Zip Code | 48374-1213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
1306269436 | Northwest Eye Physicians, P.C. | Eyewear Supplier (Equipment, not the service) | 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 | 2014-01-24 |
1306274493 | Elana Bodzin | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2013-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
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Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063874659 | Kevin C Sorensen Dpm PC | Podiatrist | 44000 W 12 Mile Rd, Ste 111, Novi, MI 48377-2644 | 2016-03-23 |
1760849327 | Kevin C Sorensen, Dpm, PC | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2016-01-26 |
1033416219 | Sophia Barnett | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2011-02-23 |
1144497694 | Advanced Foot & Ankle Care Center Pllc | Podiatrist | 24230 Karim Blvd, Ste 140, Novi, MI 48375-2953 | 2008-05-14 |
1275703266 | Family Podiatrists,p.c. | Podiatrist | 24230 Karim Blvd, Ste#140, Novi, MI 48375-2960 | 2008-03-05 |
1841231891 | Foot and Ankle Assoc. Pllc | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-3111 | 2006-06-09 |
1215913694 | Neal A Mozen | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
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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.