DR. ISSAM NABEEH MANSOUR (NPI# 1881712008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881712008 |
| Entity Type | Individual |
| Full Name | DR. ISSAM NABEEH MANSOUR |
| Credential | DPM |
| Practice Address |
38525 8 Mile Rd Livonia MI 48152-1012 |
| Mailing Address |
39445 Northwind Ct Northville MI 48167-3932 |
| Practice Telephone | 2488889504 |
| Mailing Telephone | 2488889500 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 590100217 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002177 | MI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
38525 8 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346212800 | Andrew J Borin | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2006-02-07 |
| 1295336964 | Amina Hassan | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2020-11-08 |
| 1518440064 | Top Care Physical Therapy LLC | Clinic/Center | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2018-09-11 |
| 1891239026 | Klajdi Ndini | Nurse Practitioner | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2016-12-07 |
| 1114324969 | Simmons Medical Group PC | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2014-11-21 |
| 1336419670 | Ankle & Foot Care Specialists Pllc | Podiatrist | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2012-01-04 |
| 1619297553 | Vjk4 Corp | Pharmacy | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2010-06-02 |
| 1356571129 | Sleep O2, LLC. | Durable Medical Equipment & Medical Supplies | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2009-07-15 |
| 1760538821 | Michigan Institute of Medicine PC | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2007-01-25 |
| 1477627115 | Supreme Rehab Inc | Durable Medical Equipment & Medical Supplies | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1376877027 | Mark J. Moss Dpm P.C. | Podiatrist | 29701 6 Mile Rd Ste 100a, Livonia, MI 48152-8601 | 2009-09-29 |
| 1518082296 | Jeffrey Danto Dpm | Podiatrist | 29520 6 Mile Rd, Livonia, MI 48152-3671 | 2007-03-20 |
| 1922173194 | Medical Center Foot and Ankle PC | Podiatrist | 15873 Middlebelt Rd, Ste 400, Livonia, MI 48154-3896 | 2006-11-22 |
| 1154410124 | Scott Saxton Wilber | Podiatrist | 18558 Westmore St, Livonia, MI 48152-3250 | 2006-10-11 |
| 1508870361 | Mark Jeffrey Moss | Podiatrist | 29701 6 Mile Rd, #100a, Livonia, MI 48152-8600 | 2006-07-28 |
| 1902836828 | Ernest Ajluni | Podiatrist | 17870 Farmington Road, Bldg C, Livonia, MI 48152 | 2006-07-04 |
| 1508862707 | Allen S Mehler | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-06-22 |
| 1346244803 | Peter F. Gregory | Podiatrist | 17316 Farmington Rd, Livonia, MI 48152-3158 | 2005-06-11 |
| 1295072445 | Foot Healthcare Associates, PC | Podiatrist | 37595 7 Mile Rd, Suite 370, Livonia, MI 48152-1003 | 2013-01-08 |
| 1932279437 | Nationwide Foot & Ankle Care PC | Podiatrist | 10986 Middlebelt Rd, Livonia, MI 48150-3058 | 2006-11-09 |
| Find all providers in LIVONIA | ||||
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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.