MR. RUSSELL MARCILIS II


Address: 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021
Phone: 5865851446

MR. RUSSELL MARCILIS II (NPI# 1780050369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780050369
Entity Type Individual
Full Name MR. RUSSELL MARCILIS II
Practice Address 18121 E. 8 Mile Ste 100
Eastpointe
MI 48021
Mailing Address 11885 E 12 Mile Rd Ste 200b
Warren
MI 48093-3474
Practice Telephone 5865851446
Mailing Telephone 3137997935
Enumeration Date 2015-08-18
Last Update Date 2016-01-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier MI Suppliers

Office Location

Street Address 18121 E. 8 MILE STE 100
City EASTPOINTE
State MI
Zip Code 48021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588137483 Beautiful Tomorrow Inc Home Health 22430 Gratiot Ave., Eastpointe, MI 48021 2019-01-03
1760922553 Urgent Care Plus, PC Clinic/Center 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 2017-02-28
1295187961 Danielle Wansley Licensed Practical Nurse 24934 Rawen Ave, Eastpointe, MI 48021 2016-07-06
1548615966 Unique Burton Licensed Practical Nurse 15025 Charles, Eastpointe, MI 48021 2016-05-04
1376908707 Dalinda Richardson Physical Therapist 18200 E Tenmile Road, 200, Eastpointe, MI 48021 2015-12-30
1841603594 Charlotte Loraine Kroll Dentist 24541 Gratiot Ave., Eastpointe, MI 48021 2014-06-10
1114357720 Zuri Tanay Boyd-mcgarrity Social Worker 4160 Woodward, 2nd Floor, Detroit, MI 48021 2013-11-18
1619219888 Bettye Ruth Edwards Social Worker 23721 Kelly # 7, Eas Pointe, MI 48021 2013-03-26
1578807392 Angela Marie Travis Specialist 21062 Kelly Road, Eastpoint, MI 48021 2012-11-16
1578840617 Kimberly Handy Pharmacist 25018 Gratiot, Eastpointe, MI 48021 2011-11-03
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083691679 Michigan Orthopedic Services LLC Prosthetic/Orthotic Supplier 19070 E 10 Mile Rd., Eastpointe, MI 48021-1449 2005-12-27
1780683896 Digital Foot Lab Usa, LLC Prosthetic/Orthotic Supplier 21020 Kelly Rd, Eastpointe, MI 48021-3126 2005-07-20
1366937328 In-motion Prosthetics & Orthotics, LLC Prosthetic/Orthotic Supplier 21020 Kelly Rd, Eastpointe, MI 48021-3126 2018-06-22
1871899245 Binson's Hospital Supplies, Inc. Prosthetic/Orthotic Supplier 21571 Kelly Rd, Eastpointe, MI 48021-3213 2011-02-02
1548564230 Binson's Hospital Supplies, Inc. Prosthetic/Orthotic Supplier 21571 Kelly Rd, Eastpointe, MI 48021-3213 2011-01-10
1902046238 Bon Secours Home Medical Inc Prosthetic/Orthotic Supplier 21571 Kelly Rd, Eastpointe, MI 48021-3213 2009-02-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578178026 Teter Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 2020-09-11
1508474297 Brandy Denise Smith-bounds Prosthetic/Orthotic Supplier 41660 Huntington Dr, Sterling Heights, MI 48313-3128 2020-07-19
1912537705 The W Beauty and Barber Lounge Prosthetic/Orthotic Supplier 18718 Grand River Ave, Detroit, MI 48223-2215 2020-01-21
1710520507 Michigan Surgery Specialists, P.C. Prosthetic/Orthotic Supplier 19725 Allen Rd Ste B, Brownstown Twp, MI 48183-1090 2019-10-24
1952962003 Best Choice Senior Services, Inc Prosthetic/Orthotic Supplier 27177 Lahser Rd Ste 206, Southfield, MI 48034-8468 2019-06-27
1124686704 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 2550 Niles Rd Ste 1, Saint Joseph, MI 49085-3270 2019-05-30
1972066348 Jan J Stokosa Prosthetic/Orthotic Supplier 2145 University Park Drive, Suite 100, Okemos, MI 48864 2019-04-11
1306304670 Ddp Mobility and Safety Medical Equipment Prosthetic/Orthotic Supplier 27258 Cecile St, Dearborn Heights, MI 48127-3393 2019-03-06
1538626221 Crossroads Orthotics & Consultation, Inc. Prosthetic/Orthotic Supplier 4025 Holt Rd Ste 110, Holt, MI 48842-6019 2019-02-28
1952886343 Confidence Beyond Hair Loss Prosthetic/Orthotic Supplier 14830 Lakeshore Dr, Grand Haven, MI 49417-8636 2018-10-01
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Competitor

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City EASTPOINTE
Zip Code 48021

Improve Information

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Dataset Information

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.

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