PREMIER FOOT & ANKLE PLLC (NPI# 1801361365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801361365 |
| Entity Type | Organization |
| Organization Name | PREMIER FOOT & ANKLE PLLC |
| Practice Address |
5777 W Maple Rd Ste 170 West Bloomfield MI 48322-4448 |
| Mailing Address |
17900 23 Mile Rd Ste 204 Macomb MI 48044-1161 |
| Practice Telephone | 5869489417 |
| Practice Fax Number | 5868463910 |
| Mailing Telephone | 5869489417 |
| Mailing Fax Number | 5868463910 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | STEFANO MATTHEW MILITELLO (OWNER) |
| Authorized Official Telephone | 5869489417 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER FOOT & ANKLE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316594765 | Premier Foot & Ankle Pllc | Podiatrist | 101 Rochdale Dr S Ste C, Rochester Hills, MI 48309-2273 | 2019-08-21 |
| 1851846257 | Premier Foot & Ankle Pllc | Podiatrist | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 | 2016-08-16 |
| 1699171868 | Premier Foot & Ankle Pllc | Podiatrist | 152 S Moore St, Sanford, NC 27330-4224 | 2014-11-14 |
| Street Address |
5777 W MAPLE RD STE 170 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606298 | Stuart Bass | Podiatrist | 5444 Centerbrook Ct, West Bloomfield, MI 48322-3818 | 2017-01-19 |
| 1194107425 | Ryan Goldfine | Podiatrist | 6624 Stillwell, West Bloomfield, MI 48322 | 2015-06-23 |
| 1962898130 | Feet for Life Pllc | Podiatrist | 4076 Old Dominion Dr, West Bloomfield, MI 48323-2653 | 2015-04-14 |
| 1396027603 | Burton H Leib | Podiatrist | 5379 Pleasant Lake Dr, West Bloomfield, MI 48322-4715 | 2011-09-13 |
| 1518258896 | Harshini Avula | Podiatrist | 5829 W Maple Rd Ste 115, West Bloomfield, MI 48322 | 2011-04-21 |
| 1629182357 | Marc Chicorel | Podiatrist | 6195 Carroll Dr, West Bloomfield, MI 48322-2225 | 2006-08-19 |
| 1609868876 | Charles J Markle | Podiatrist | 4318 Springhill Ct, West Bloomfield, MI 48323-3135 | 2005-08-15 |
| 1003308636 | Onward Health | Podiatrist | 5829 W Maple Rd Ste 115, West Bloomfield, MI 48322 | 2018-05-30 |
| 1649496613 | Amore Podiatry Associates PC | Podiatrist | 6578 Post Oak Dr, West Bloomfield, MI 48322 | 2007-04-18 |
| 1598881088 | Charles J Markle Dpm PC | Podiatrist | 4318 Springhill Ct, West Bloomfield, MI 48323-3135 | 2007-03-22 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on PREMIER FOOT & ANKLE PLLC.
| 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.