FOOT AND ANKLE ASSOC. PLLC (NPI# 1841231891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841231891 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE ASSOC. PLLC |
| Practice Address |
44000 W 12 Mile Rd Suite 111 Novi MI 48377-3111 |
| Mailing Address |
Po Box 3195 Farmington Hills MI 48333-3195 |
| Practice Telephone | 2483478233 |
| Practice Fax Number | 2483478174 |
| Mailing Telephone | 2483478233 |
| Mailing Fax Number | 2483478174 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | DR. MARIE NELSON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2483478233 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001597 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 4856354790 | 01 |
| MI | 4480692 | 05 | |
| MI | BCBS GROUP | 480F303840 | 01 |
| MI | DEPT OF LABOR | 613133100 | 01 |
| Street Address |
44000 W 12 MILE RD SUITE 111 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360875 | Kristina E Green | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2005-07-19 |
| 1063874659 | Kevin C Sorensen Dpm PC | Podiatrist | 44000 W 12 Mile Rd, Ste 111, Novi, MI 48377-2644 | 2016-03-23 |
| 1760849327 | Kevin C Sorensen, Dpm, PC | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2016-01-26 |
| 1154722668 | Meryl Krochmal | Dietitian, Registered | 44000 W 12 Mile Rd, Novi, MI 48377-2644 | 2014-09-16 |
| 1043627524 | Michigan Respiratory and Sleep Physicians Pllc | Internal Medicine | 44000 W 12 Mile Rd, Suite 113, Novi, MI 48377-2644 | 2014-07-17 |
| 1114223310 | Vhs Physicians of Michigan | Internal Medicine | 44000 W 12 Mile Rd, Suite 211, Novi, MI 48377-2644 | 2011-02-04 |
| 1962704585 | Novi Neurology PC | Psychiatry & Neurology | 44000 W 12 Mile Rd, Ste 213, Novi, MI 48377-2644 | 2010-12-02 |
| 1487809414 | Urgent Care of Novi PC | Clinic/Center | 44000 W 12 Mile Rd, Suite 101, Novi, MI 48377-2644 | 2008-11-18 |
| 1841445871 | Urgent Care of Novi PC | Family Medicine | 44000 W 12 Mile Rd, Suite 101, Novi, MI 48377-2644 | 2008-11-18 |
| 1265607782 | Babitha Jacob | Physical Therapist | 44000 W 12 Mile Rd, Suite 205, Novi, MI 48377-2647 | 2008-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063874659 | Kevin C Sorensen Dpm PC | Podiatrist | 44000 W 12 Mile Rd, Ste 111, Novi, MI 48377-2644 | 2016-03-23 |
| 1760849327 | Kevin C Sorensen, Dpm, PC | Podiatrist | 44000 W 12 Mile Rd, Suite 111, Novi, MI 48377-2644 | 2016-01-26 |
| 1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
| 1033416219 | Sophia Barnett | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2011-02-23 |
| 1144497694 | Advanced Foot & Ankle Care Center Pllc | Podiatrist | 24230 Karim Blvd, Ste 140, Novi, MI 48375-2953 | 2008-05-14 |
| 1275703266 | Family Podiatrists,p.c. | Podiatrist | 24230 Karim Blvd, Ste#140, Novi, MI 48375-2960 | 2008-03-05 |
| 1215913694 | Neal A Mozen | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056665 | Radu Purtuc Dpm Pllc | Podiatrist | 20005 Hidden Oaks Dr, Brownstown, MI 48183-3276 | 2020-09-03 |
| 1790300978 | Bhavik Patel | Podiatrist | 16001 W 9 Mile Rd Fl 2, Southfield, MI 48075-4818 | 2020-06-12 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1770104580 | Ali Chami | Podiatrist | 20115 River Oaks Dr, Dearborn Heights, MI 48127-2709 | 2020-05-04 |
| 1780233627 | Bloomfield Foot & Ankle Specialists Pllc | Podiatrist | 43750 Woodward Ave Ste 102, Bloomfield Hills, MI 48302-5063 | 2019-09-04 |
| 1063068435 | Monaghan Post-vasold Podiatry Plc | Podiatrist | 5377 N Waldo Rd, Midland, MI 48642-9713 | 2019-08-12 |
| 1598323909 | Lakeside Foot & Leg Care Pllc | Podiatrist | 14322 Grandview Dr, Sterling Heights, MI 48313-3447 | 2019-05-31 |
| 1285297481 | J Weber Medical Group Pllc | Podiatrist | 620 Woodmere Ave Ste C, Traverse City, MI 49686-3397 | 2019-04-15 |
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1780182907 | Jeffrey Schwalb Dpm Pllc | Podiatrist | 5755 W Maple Rd Ste 115, W Bloomfield, MI 48322-4415 | 2018-01-23 |
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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.