DR. BRIAN GREGORY KISSEL (NPI# 1740544683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740544683 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GREGORY KISSEL |
| Credential | DPM |
| Practice Address |
29433 Ryan Rd Warren MI 48092-2203 |
| Practice Telephone | 5865740500 |
| Practice Fax Number | 5865742694 |
| Mailing Telephone | 5865740500 |
| Mailing Fax Number | 5865742694 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002446 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
29433 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 1285981035 | Erik Charles Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2012-08-11 |
| 1043498652 | Charles G Kissel Dpm PC | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2008-02-06 |
| 1013001221 | Charles G Kissel Dpm PC | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2006-10-03 |
| 1790880284 | Aimee Antoinette Popofski | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2006-09-13 |
| 1598767022 | Michael Schey | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134501885 | Jamie L Matteo Dpm, Inc | Podiatrist | 628 Niles Cortland Road Se Suite 103, Warren, OH 44484-2473 | 2015-06-18 |
| 1962841544 | Siraj Panchbhaiya | Podiatrist | 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 | 2013-06-18 |
| 1194061002 | Advanced Podiatry Ankle & Footcare Centers Inc | Podiatrist | 4441 Mahoning Ave Nw Ste A, Warren, OH 44483-1976 | 2012-12-20 |
| 1336389519 | Cara Christine Dunbar Kalogerou | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-02-27 |
| 1588804132 | Kenneth James Donovan | Podiatrist | 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 | 2009-02-23 |
| 1437124492 | A Caring Podiatrist Inc | Podiatrist | 2900 Elm Road Ne, Warren, OH 44483 | 2006-02-22 |
| 1194703157 | Diana G Karnavas | Podiatrist | 4441 Mahoning Ave Nw, Suite A, Warren, OH 44483-1932 | 2006-01-09 |
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1326531377 | Giulia Consulting Pllc | Podiatrist | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2018-06-13 |
| Find all providers in WARREN | ||||
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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.