ANKLE AND FOOT CENTER PC (NPI# 1760679070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760679070 |
| Entity Type | Organization |
| Organization Name | ANKLE AND FOOT CENTER PC |
| Practice Address |
640 Romence Rd Suite 111 Portage MI 49024-3464 |
| Mailing Address |
4310 Leonard St Nw Suite 103 Walker MI 49534-8447 |
| Practice Telephone | 2693243322 |
| Practice Fax Number | 2693243352 |
| Mailing Telephone | 6164536329 |
| Mailing Fax Number | 6164531725 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2010-12-30 |
| Authorized Official Name | JOSEPH SIKO JR. (PHYSICIAN) |
| Authorized Official Telephone | 2693243322 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001711 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 4853956160 | 01 |
| Street Address |
640 ROMENCE RD SUITE 111 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871872374 | Kristi Jayne Karel | Social Worker | 640 Romence Rd, Ste 211a, Portage, MI 49024-3400 | 2011-08-15 |
| 1790092500 | Mid Michigan Home Visiting Doctors LLC | General Practice | 640 Romence Rd, Suite 215, Portage, MI 49024-3464 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1659559599 | Portage Podiatry | Podiatrist | 220 Main St Ste 100, Portage, PA 15946-1119 | 2008-02-01 |
| 1831267806 | Dale M Goughnour | Podiatrist | 220 Main St. Ste 100, Portage, PA 15946-1119 | 2006-11-30 |
| 1972569929 | David Alyn Vander Bie | Podiatrist | 1508 West Centre Street, Portage, MI 49024 | 2006-04-26 |
| 1669756912 | Kalamazoo Foot and Ankle Specialists, Plc | Podiatrist | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2011-10-05 |
| 1184886111 | Michael P Maskill | Podiatrist | 7901 S 12th St, Portage, MI 49024-3831 | 2008-07-01 |
| 1588859862 | James H Simonds Dpm PC | Podiatrist | 126 E Kilgore Rd, Portage, MI 49002-0598 | 2007-09-11 |
| 1174590178 | Stephen C. Murphy | Podiatrist | 2817 New Pinery Rd, Portage, WI 53901-0387 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| 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.