DR. KEITH BRIAN DANIELS (NPI# 1770576407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770576407 |
| Entity Type | Individual |
| Full Name | DR. KEITH BRIAN DANIELS |
| Credential | DPM |
| Practice Address |
5710 Clio Rd Flint MI 48504-1525 |
| Mailing Address |
225 E 5th St Suite 300 Flint MI 48502-1641 |
| Practice Telephone | 8104064941 |
| Practice Fax Number | 8104246029 |
| Mailing Telephone | 8104064246 |
| Mailing Fax Number | 8104246029 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | KD001100 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1789618 | 05 |
| Street Address |
5710 CLIO RD |
| City | FLINT |
| State | MI |
| Zip Code | 48504-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868288 | Christopher John Danko | Psychologist | 5710 Clio Rd, Flint, MI 48504-1524 | 2005-11-18 |
| 1558893149 | Aisha Myshelle Harris | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1525 | 2017-04-01 |
| 1891164638 | Christine Jarocki | Podiatrist | 5710 Clio Rd, Flint, MI 48504-1525 | 2015-09-23 |
| 1912276502 | Lynn M Penfold | Nurse Practitioner | 5710 Clio Rd, Flint, MI 48504-1525 | 2011-12-28 |
| 1881926962 | Doris Evelyn Patrick | Social Worker | 5710 Clio Rd, Flint, MI 48504-1525 | 2010-02-01 |
| 1952569790 | Hamilton Community Health Network Inc. | Obstetrics & Gynecology | 5710 Clio Rd, Flint, MI 48504-1524 | 2008-05-29 |
| 1083839518 | Robert A Barbier | Counselor | 5710 Clio Rd, Flint, MI 48504-1525 | 2007-04-17 |
| 1710036900 | Joseph R. Partlan | Physician Assistant | 5710 Clio Rd, Flint, MI 48504-1524 | 2007-01-09 |
| 1457396723 | Yogesh Jagirdar | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1525 | 2006-06-19 |
| 1215907159 | Donald Robinson | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1524 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| 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 |
|---|---|---|---|---|
| 1780958561 | Donald C Lutz, Dpm | Podiatrist | G3302 Beecher Rd, Flint, MI 48532-3614 | 2012-02-27 |
| 1952955601 | Flint Foot & Ankle Pllc | Podiatrist | 2329 Stonebridge Dr Bldg E, Flint, MI 48532-5407 | 2019-07-31 |
| 1073177267 | Aarthi Bawa, Dpm Pllc | Podiatrist | 915 S Dort Hwy, Flint, MI 48503-2800 | 2019-04-24 |
| 1952656696 | Hamilton Community Health Network Inc | Podiatrist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2012-07-18 |
| 1528283033 | Ascension Genesys Hospital | Podiatrist | 420 S Saginaw St, Flint, MI 48502-1803 | 2007-04-17 |
| 1063550606 | David Wesley Gunsberg | Podiatrist | G3380 Beecher Rd, Suite A, Flint, MI 48532-3647 | 2007-02-04 |
| 1255367009 | Hurley Medical Center | Podiatrist | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-06-23 |
| 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 |
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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.